Active NPI
Margaret M Nichols MD LLC
- Family Medicine Physician
- Macon, GA
National Provider Identifier
1255672523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 042373
- Legal business name
- MARGARET M NICHOLS MD LLC
- Practice address
- 1062 Forsyth St
Ste 3E
Macon, GA 31201-8637 - Phone
- (478) 741-1776
- Fax
- (478) 741-1775
- NPI assigned
- Mar 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Margaret M Nichols, MD
- Title
- Owner
- Phone
- (478) 741-1776
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 042373 | GA | Primary |
Addresses
Primary practice location
1062 Forsyth St
Ste 3E
Macon, GA 31201-8637
Mailing address
1062 Forsyth St
Ste 3E
Macon, GA 31201-8637
Phone (478) 741-1776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00721223D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1062 Forsyth St
Ste 3E
Macon, GA 31201
Phone (478) 741-1776
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Macon, GA
- NPI 1740398916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362960000000",
"number": "1255672523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1062 FORSYTH ST",
"address_2": "STE 3E",
"city": "MACON",
"state": "GA",
"postal_code": "312018637",
"telephone_number": "478-741-1776",
"fax_number": "478-741-1775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1062 FORSYTH ST",
"address_2": "STE 3E",
"city": "MACON",
"state": "GA",
"postal_code": "312018637",
"telephone_number": "478-741-1776",
"fax_number": "478-741-1775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARGARET M NICHOLS MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-11",
"last_updated": "2013-03-11",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-741-1776",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "GA",
"license": "042373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00721223D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.