Active NPI
Nicolas Donald Duchemin, M.D. DABFM
- Family Medicine Physician
- Stockbridge, GA
National Provider Identifier
1245508480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 82008
- Practice address
- 1240 Eagles Landing Pkwy Ste 110
Stockbridge, GA 30281-5173 - Phone
- (770) 389-3855
- Fax
- (770) 474-8078
- NPI assigned
- Dec 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 82008 | GA | Primary |
Addresses
Primary practice location
1240 Eagles Landing Pkwy Ste 110
Stockbridge, GA 30281-5173
Mailing address
1240 Eagles Landing Pkwy Ste 110
Stockbridge, GA 30281-5173
Phone (770) 389-3855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82008 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Continucare Medical Management Inc | Current | Accepting new patients | |
| Ponce Preventive Care LLC | Family Medicine | Current | Accepting new patients |
| Aylo Health, LLC | Past | Accepting new patients | |
| Whole Family Medicine, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
Locations
6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114
315 W Ponce de Leon Ave
Ste 110
Decatur, GA 30030
Phone (404) 371-9673
402 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 377-9010
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
- Clinic/Center
- Miami, FL
- NPI 1306033303
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1710929914
-
- Sleep Medicine (Family Medicine) Physician
- Stockbridge, GA
- NPI 1922831445
-
- Family Medicine Physician
- Decatur, GA
- NPI 1053589481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1245508480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 EAGLES LANDING PKWY STE 110",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815173",
"telephone_number": "770-389-3855",
"fax_number": "770-474-8078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 EAGLES LANDING PKWY STE 110",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815173",
"telephone_number": "770-389-3855",
"fax_number": "770-474-8078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCHEMIN",
"first_name": "NICOLAS",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "M.D. DABFM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-02",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "82008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
- Rebecca Laura Downey, MD
- Dr. Keith H. Crowe, P.C. (Crowe Chiropractic)
- Dr. Terry L. Sharpe M.D. PC
- Dr. Thomas R Fitzsimmons MD PC (Thomas R Fitzsimmons MD PC)
- DRS. Kurtis and Joanne Davis, P.C.
- Chiquita Dudley-Thompson, LPN
- Alfreda Shavone Duffy, LPN
- Tammy Duffy
- Geneeco Hudson Dukes, D.C.
- Meiko Dukes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.