Individual provider Active NPI

George Alfred Nicholas, M.D.

  • Family Medicine Physician
  • Huron, SD
National Provider Identifier
1356388995
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2117 Issued in SD
Practice address
530 Iowa Ave SE
Suite 106
Huron, SD 57350-2864
Phone
(605) 352-7711
Fax
(605) 352-7710
NPI assigned
Jun 1, 2006
Last updated
Feb 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2117 SD Primary

Addresses

Primary practice location

530 Iowa Ave SE
Suite 106
Huron, SD 57350-2864

Mailing address

530 Iowa Ave SE
Suite 106
Huron, SD 57350-2864
Phone (605) 352-7711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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

Enrollment IDStateProvider typePAC IDDetails
I20100303000349 SD Practitioner - Family PracticePractitioner - General Practice 6709921687 Reassigns benefits to 1 organization
Practice locations: Huron, SD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2117SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas County Memorial Hospital CurrentSince Jun 1, 2018 Accepting new patients
Douglas County Memorial Hospital Current Accepting new patients
Douglas County Memorial Hospital CurrentSince Jun 1, 2018 Accepting new patients
Huron Regional Medical Center Inc Past Accepting new patients
Huron Laboratory SVC PC Past Accepting new patients
George a. Nicholas, M.D. PastSince Jan 1, 1990 Accepting new patients

Locations

708 8th St
Armour, SD 57313
Phone (605) 724-2159

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1356388995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 IOWA AVE SE",
            "address_2": "SUITE 106",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502864",
            "telephone_number": "605-352-7711",
            "fax_number": "605-352-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 IOWA AVE SE",
            "address_2": "SUITE 106",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502864",
            "telephone_number": "605-352-7711",
            "fax_number": "605-352-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "GEORGE",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "2117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

Verify at the official NPI Registry.