Cody A Nichols, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M1981 Issued in TX

Practice address

1305 Wonder World Dr Ste 306
San Marcos, TX 78666-7542

Phone

(512) 396-1000

Fax

(512) 353-2554

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Corridor Primary Care, PA

  • Pediatrics Physician
  • San Marcos, TX
  • NPI 1124050836

  Internal Medicine

  NPD (past)
• Ector County Hospital District

  • Urgent Care Clinic/Center
  • Odessa, TX
  • NPI 1366680555
  NPD (past)
• Pain Care Physicians, PA

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
  • NPI 1598745317
  NPD (past)
• Texas Tech University Health Sciences Center Odessa

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1407845084

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1295766038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR STE 306",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667542",
            "telephone_number": "512-396-1000",
            "fax_number": "512-353-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR STE 306",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667542",
            "telephone_number": "512-396-1000",
            "fax_number": "512-353-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "CODY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Journeys
• New Recovery Pathways Counseling
• Rachel Newman
• Christine Nguyen
• Minh Thu Thi Nguyen, MD
• Michael Lynn Nick, CRNA
• Cheryl Lynn Nickell, LCSW
• Sye Nobles
• Michael Casey Nonmacher
• Steven Craig Nordwick, CTRS

• Internal Medicine Physician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.