Individual provider Active NPI

Nicholas Fletcher, MD

  • Pediatric Orthopaedic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1205983178
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
64032 Issued in GA
Practice address
1400 Tullie Rd NE FL 2
Atlanta, GA 30329-2309
Phone
(404) 255-1933
Fax
(404) 785-0934
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 64032 GA Primary

Addresses

Primary practice location

1400 Tullie Rd NE FL 2
Atlanta, GA 30329-2309

Mailing address

1400 Tullie Rd NE FL 2
Atlanta, GA 30329-2309
Phone (404) 255-1933

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address choa@choa.gadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028001132 GA Practitioner - Orthopedic Surgery 5597959007 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Vanderbilt University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choa Hospital Based, LLCGroup PAC ID 4688812498, 97 clinicians

Practice addresses (Care Compare)

1400 Tullie Rd NE
Suite 210
Atlanta, GA 30329-2309
Phone (404) 785-0122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64032GAMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choa Hospital Based, LLC CurrentSince Feb 1, 2019 Accepting new patients
The Emory Clinic Inc CurrentSince Aug 31, 2010 Accepting new patients
Choa Multispecialty, LLC CurrentSince Feb 1, 2019 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Aug 31, 2010 Accepting new patients
Egleston Pediatric Group Current Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Aug 31, 2010 Accepting new patients
Scottish Rite Children's Medical Center Past Accepting new patients
The Emory Clinic Pediatric Providers Pediatric Orthopaedic Surgery Past Accepting new patients
Scottish Rite Childrens Medical Ctr Past Accepting new patients
Children's Orthopaedics of Atlanta P.C. PastSince Mar 1, 2013 Accepting new patients
Egleston Children's Hospital at Emory University, Inc. Past Accepting new patients
Children's Hospital Los Angeles Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1400 Tullie Rd NE
Ste 210
Atlanta, GA 30329
Phone (404) 785-0122

59 Executive Park South NE
Ste 2000
Atlanta, GA 30329
Phone (404) 778-3347

1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112

605 Big Shanty Rd NW
Ste 200
Kennesaw, GA 30144

5455 Meridian Mark Rd
Sandy Springs, GA 30342
Phone (404) 785-2849

1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008

Interoperability endpoints

  • Direct secure messaging: nfletcher41783@choa.gadirect.net

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1205983178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 TULLIE RD NE FL 2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292309",
            "telephone_number": "404-255-1933",
            "fax_number": "404-785-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 TULLIE RD NE FL 2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292309",
            "telephone_number": "404-255-1933",
            "fax_number": "404-785-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "GA",
            "license": "64032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "choa@choa.gadirect.net",
            "affiliation": "N",
            "address_1": "1400 Tullie Rd NE Fl 2",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303292309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.