Nicole Miranda McGee

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

001010511 Issued in NC

Practice address

1095 N Bragg Blvd Ste 104
Spring Lake, NC 28390-3307

Phone

(910) 339-6015

NPI assigned

Jun 20, 2020

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19232/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Hope Family Practice, PC

  • Primary Care Clinic/Center
  • Fayetteville, NC
  • NPI 1568642445
  Medicare reassignment
• Abc Pediatrics of Dunn, PA

  • Specialist
  • Dunn, NC
  • NPI 1417061011
  NPD (past)

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1225654759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 N BRAGG BLVD STE 104",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 N BRAGG BLVD STE 104",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903307",
            "telephone_number": "910-339-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "NICOLE",
        "middle_name": "MIRANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-20",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "001010511",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "001010511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Mazzullo, RD
• Leeshell Lynn McAllister
• Monique McAllister
• Krista Thompson McDaniel, D.D.S.
• Arissa McDougald
• Jasmine McKennon
• Brooke Alexandra McLeod, LCSW, LCAS-A
• Courtney Lynne McMillan
• Isaiah McNeil
• Bethany McNeill

• Pediatrics Physician in Spring Lake, NC
• Providers in Spring Lake, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.