Active NPI
Petros George Nikolinakos, M.D.
- Hematology & Oncology Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 63106
- Practice address
- 3320 Old Jefferson Rd BLDG 800
Athens, GA 30607-1400 - Phone
- (706) 353-2990
- Fax
- (706) 353-2992
- NPI assigned
- Jun 15, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BP10025711 | TX | |
| Hematology & Oncology Physician | 207RH0003X | BP10025711 | TX | |
| Hematology & Oncology Physician | 207RH0003X | 63106 | GA | Primary |
Addresses
Primary practice location
3320 Old Jefferson Rd BLDG 800
Athens, GA 30607-1400
Mailing address
3320 Old Jefferson Rd BLDG 800
Athens, GA 30607-1400
Phone (706) 353-2990
Other practice location 1
3320 Old Jefferson Rd Bldg 700
Athens, GA 30607-1465
Phone (706) 353-2990
Other practice location 2
119 Harmony Xing Ste 1
Eatonton, GA 31024-9571
Phone (762) 220-1880
Other practice location 3
1460 Resurgence Dr
Watkinsville, GA 30677-7320
Phone (706) 715-2410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47010044A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3320 Old Jefferson Rd
BLDG 700
Athens, GA 30607-1465
Phone (706) 353-2990
Hospital & facility affiliations
- Enhabit Home Health
- Piedmont Athens Regional Medical Center
- St Marys Good Samaritan Hospital
- St Mary'S Hospital
- Northeast Georgia Medical Center, Inc
- Navicent Health Baldwin
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63106 | GA | MD | Hematology & Oncology Physician |
| BP10025711 | TX | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Cancer & Blood Center LLC | Internal Medicine | Current | Accepting new patients |
Locations
3320 Old Jefferson Rd
Bldg 800
Athens, GA 30607
Phone (706) 353-2290
3320 Old Jefferson Rd
Bldg 700
Athens, GA 30607
Phone (706) 224-6348
119 Harmony Xing
Ste 1
Eatonton, GA 31024
Phone (762) 220-1880
1460 Resurgence Dr
Watkinsville, GA 30677
Phone (706) 715-2410
Organizations & group practices 1
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.
-
- Hematology & Oncology Physician
- Athens, GA
- NPI 1346343761
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hartwell, GA
- NPI 1740268176
-
- General Acute Care Hospital
- Milledgeville, GA
- NPI 1841701562
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
-
- Critical Access Hospital
- Greensboro, GA
- NPI 1346209137
-
- General Acute Care Hospital
- Athens, GA
- NPI 1871556621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1306041900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 OLD JEFFERSON RD BLDG 800",
"city": "ATHENS",
"state": "GA",
"postal_code": "306071400",
"telephone_number": "706-353-2990",
"fax_number": "706-353-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 OLD JEFFERSON RD BLDG 800",
"city": "ATHENS",
"state": "GA",
"postal_code": "306071400",
"telephone_number": "706-353-2990",
"fax_number": "706-353-2992"
}
],
"practiceLocations": [
{
"address_1": "3320 Old Jefferson Rd Bldg 700",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306071465",
"country_code": "US",
"telephone_number": "706-353-2990",
"fax_number": "706-353-2992",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "119 Harmony Xing Ste 1",
"address_purpose": "LOCATION",
"city": "Eatonton",
"state": "GA",
"postal_code": "310249571",
"country_code": "US",
"telephone_number": "762-220-1880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1460 Resurgence Dr",
"address_purpose": "LOCATION",
"city": "Watkinsville",
"state": "GA",
"postal_code": "306777320",
"country_code": "US",
"telephone_number": "706-715-2410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIKOLINAKOS",
"first_name": "PETROS",
"middle_name": "GEORGE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-15",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10025711",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "BP10025711",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "GA",
"license": "63106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47010044A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.
- 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.