Sydney Nichols, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME153584 Issued in FL

Practice address

7955 Bay St Ste 2
Sebastian, FL 32958-3282

Phone

(772) 388-9155

Fax

(772) 388-9154

NPI assigned

Jul 2, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sydney.nichols@bha.eclinicaldirectplus.com

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.

• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956

  Pediatrics

  Medicare reassignment NPD
• Total Access Pediatrics LLC

  • Pediatrics Physician
  • Sebastian, FL
  • NPI 1508647793
  NPD Authorized official
• Total Access Pediatrics LLC

  • Pediatrics Physician
  • Alpharetta, GA
  • NPI 1952888927
  NPD Authorized official
• Brevard Health Alliance Inc

  • Federally Qualified Health Center (FQHC)
  • Palm Bay, FL
  • NPI 1992750962
  NPD (past)
• Sebastian Id Care LLC

  • Infectious Disease Physician
  • Sebastian, FL
  • NPI 1497125413
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1235391012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 BAY ST STE 2",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583282",
            "telephone_number": "772-388-9155",
            "fax_number": "772-388-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 BAY ST STE 2",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583282",
            "telephone_number": "772-388-9155",
            "fax_number": "772-388-9154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Sarno Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329353084",
            "country_code": "US",
            "telephone_number": "321-241-6800",
            "fax_number": "321-241-6890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "SYDNEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-35889",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME153584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340125",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mobilevirtualproviders@hushmail.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant email",
            "address_1": "7955 Bay St Ste 2",
            "city": "Sebastian",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329583282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela Denise Nadeau-Morin, M.S.P.T
• Christina Furst Namvar, D.O.
• Joelene Newman, COTA/L, OTR/L
• Nextgen Pathology
• Jonathan Nguyen, D.M.D.
• Mark Alan Nieman, RPH
• Nola Trossman, Advanced Registered Nurse Practioner, LLC
• Nomels Assisted Livings Facilities
• Noor M. Merchant MD & Associates PA
• Brittany Anne Norcross, APRN

• Pediatrics Physician in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.