Individual provider Active NPI

Marcie Nicks, NP

  • Family Nurse Practitioner
  • Watkinsville, GA
National Provider Identifier
1215388871
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP224852 Issued in GA
Practice address
1357 Oconee Connector
Watkinsville, GA 30677-7311
Phone
(678) 344-8900
Fax
(678) 666-5201
NPI assigned
Jun 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP224852 GA Primary

Addresses

Primary practice location

1357 Oconee Connector
Watkinsville, GA 30677-7311

Mailing address

1551 Janmar Rd
Snellville, GA 30078-5606
Phone (678) 344-8900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190509002574 GA Practitioner - Nurse Practitioner 7517200736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Area Urology PCGroup PAC ID 0446491641, 18 clinicians

Practice addresses (Care Compare)

1150 Golden Way
Watkinsville, GA 30677-7712
Phone (706) 612-9401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.85 of 100Reported as group
Quality
47.2
Promoting interoperability
100
Improvement activities
40
Cost
55.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP224852GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gynecology PC CurrentSince Nov 27, 2018 Accepting new patients
Advanced Gynecology PC CurrentSince Nov 27, 2018 Accepting new patients
Athens Area Urology, PC CurrentSince Jul 1, 2025 Accepting new patients

Locations

1740 Lions Club Rd
Ste 200
Madison, GA 30650
Phone (706) 597-0102

11660 Alpharetta Hwy
Ste 710
Roswell, GA 30076
Phone (404) 495-5394

1551 Janmar Rd
Snellville, GA 30078

1561 Janmar Rd
Snellville, GA 30078
Phone 6783448900102

1357 Oconee Connector
Bldg 100
Watkinsville, GA 30677
Phone (706) 389-9228

1150 Golden Way
Watkinsville, GA 30677
Phone 8888180563300

1357 Oconee Connector
Watkinsville, GA 30677
Phone (248) 988-3550

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1215388871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 JANMAR RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785606",
            "telephone_number": "678-344-8900",
            "fax_number": "678-666-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 OCONEE CONNECTOR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777311",
            "telephone_number": "678-344-8900",
            "fax_number": "678-666-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKS",
        "first_name": "MARCIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP224852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.