Brianna Taylor Nicholson

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17458 Issued in GA

Practice address

1459 Laney Walker Blvd
Augusta, GA 30912-0002

Phone

(706) 721-6715

NPI assigned

May 1, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1215726740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 TOPGOLF WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120002",
            "telephone_number": "706-721-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "BRIANNA",
        "middle_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "17458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles William Nichols Jr., PH.D.
• Fenwick T. Nichols, MD
• Lisa Nichols, ATC
• Martha Easler Nichols, MD
• Stephanie Blackett Nichols, LCSW
• Lee Anna Melissa Nicholson
• Matthew Steven Nicholson, M.D.
• Nestor L. Nieves, MD
• Mustafa Musa Nimir, MD
• Naphun Nimmanonda, PHARMD

• Psychiatry Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.