Individual provider Active NPI

John Thomas Nichols, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1316598279
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-098052 Issued in AL
Practice address
3680 Grandview Pkwy Ste 200
Birmingham, AL 35243-3411
Phone
(205) 971-7500
Fax
(205) 971-7571
NPI assigned
Sep 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-098052 AL Primary

Addresses

Primary practice location

3680 Grandview Pkwy Ste 200
Birmingham, AL 35243-3411

Mailing address

3159 Sawyer Dr
Hoover, AL 35226-7002
Phone (334) 654-1409

Other practice location 1

3980 Colonnade Pkwy
Birmingham, AL 35243-2382
Phone (205) 510-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191218002522 AL Practitioner - Nurse Practitioner 5698109064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affinity Cardiovascular Specialists LLCGroup PAC ID 1658680434, 44 clinicians

Practice addresses (Care Compare)

3680 Grandview Pkwy
Suite 200
Birmingham, AL 35243-3411
Phone (205) 971-7500

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-098052ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Cardiovascular Specialists LLC CurrentSince May 15, 2025 Accepting new patients
Baptist Health Centers, LLC CurrentSince Nov 25, 2019 Accepting new patients
Baptist Health Centers LLC CurrentSince Nov 25, 2019 Accepting new patients

Locations

3980 Colonnade Pkwy
Birmingham, AL 35243
Phone (205) 795-5390

3680 Grandview Pkwy
Ste 200
Birmingham, AL 35243
Phone (205) 971-7580

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

Interoperability endpoints

  • Direct secure messaging: john.nichols.1@9954.direct.athenahealth.com
  • Direct secure messaging: jnichols15742@baptisthealthaldirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1316598279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 SAWYER DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352267002",
            "telephone_number": "334-654-1409",
            "fax_number": "205-971-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 GRANDVIEW PKWY STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433411",
            "telephone_number": "205-971-7500",
            "fax_number": "205-971-7571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3980 Colonnade Pkwy",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352432382",
            "country_code": "US",
            "telephone_number": "205-510-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-098052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.