Elizabeth A Nicholson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003186 Issued in GA

Practice address

1913 Smith Ave
Thomasville, GA 31792-5751

Phone

(229) 226-7060

Fax

(229) 226-7061

NPI assigned

May 5, 2010

Last updated

Sep 3, 2010By the provider in NPPES

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

Other names 1

• Elizabeth A Nicholson Professional name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.nicholson.1@27346.direct.athenahealth.com
• Direct secure messaging: elizabeth.nicholson.1@8042.direct.athenahealth.com
• Direct secure messaging: elizabeth.nicholson@shawcenter.gadirect.net
• Direct secure messaging: elizabethnicholson@scwhpa.allscriptsdirect.net
• FHIR API: https://api.platform.athenahealth.com/8042/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.

• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment Care Compare group NPD
• Shaw Center for Women's Health

  • Obstetrics & Gynecology Physician
  • Thomasville, GA
  • NPI 1427067057
  Medicare reassignment NPD
• Shaw Living PC

  • Family Medicine Physician
  • Thomasville, GA
  • NPI 1033778923
  Medicare reassignment NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1245558964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MOSS TRL",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317921670",
            "telephone_number": "404-550-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925751",
            "telephone_number": "229-226-7060",
            "fax_number": "229-226-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "NICHOLSON",
            "middle_name": "A",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joshua S. Newton, M.D.
• Kayla Nguyen
• Randi Grantham Nguyen, MED SLP
• Megan A Nichols
• Lakeisha Michele Nicholson-Williams, CNA, CMA, CMT, NLP P
• Lisa Collete Nichter, L.D.
• Richard Lee Nikkel, CRNA
• Catherine Nipper, COTA
• Kimberly Harris Nix, PA-C
• Caleb Norman

• Clinical Social Worker in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.