Active NPI
Geoffrey Nicholas Jr.
- Certified Registered Nurse Anesthetist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11030372
- Practice address
- 1475 NW 12TH Ave
Miami, FL 33136-1002 - Phone
- (305) 243-5201
- NPI assigned
- Apr 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11030372 | FL | Primary |
Addresses
Primary practice location
1475 NW 12TH Ave
Miami, FL 33136-1002
Mailing address
1475 NW 12TH Ave
Miami, FL 33136-1002
Phone (305) 243-5201
Other practice location 1
1400 NW 12th Ave
Miami, FL 33136-1003
Phone (305) 689-5792
Other practice location 2
900 NW 17th St
Miami, FL 33136-1119
Phone (305) 326-6543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
1475 NW 12TH Ave
Miami, FL 33136-1002
Phone (305) 689-8648
8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11030372 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients |
Locations
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200
1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006
1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
900 NW 17th St
Miami, FL 33136
Phone (305) 243-6605
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
-
dba UMiami Medicine Multi Specialty Services
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
dba UMiami Medicine - Anesthesiology
- Anesthesiology Physician
- Miami, FL
- NPI 1518916154
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sylvester Comprehensive Cancer Center
- Special Hospital
- Miami, FL
- NPI 1679660617
-
dba Atrium Health Behavioral Health
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
dba Atrium Health Mercy
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
dba Levine Children's Hospital Pediatrics
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
dba Atrium Health Laboratory
- Clinical Medical Laboratory
- Charlotte, NC
- NPI 1811005150
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1205522745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361002",
"telephone_number": "305-243-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361002",
"telephone_number": "305-243-5201"
}
],
"practiceLocations": [
{
"address_1": "1400 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361003",
"country_code": "US",
"telephone_number": "305-689-5792",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 NW 17th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361119",
"country_code": "US",
"telephone_number": "305-326-6543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLAS",
"first_name": "GEOFFREY",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-17",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11030372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.