Nicole L McCants, D.O.
Individual provider Active NPI Emergency Medicine Physician · Nashville, GA
NPI 1376586248 · NPPES record last updated Feb 19, 2009
Key facts
- NPI
- 1376586248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 055164 (GA)
- Practice address
- 1221 E McPherson Ave
Nashville, GA 31639-2326 - Phone
- (229) 543-7100
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage Services, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 055164 | GA | Yes |
Addresses
Primary practice location
1221 E McPherson Ave
Nashville, GA 31639-2326
Mailing address
861 SW 78TH Ave
Suite 100B
Plantation, FL 33324-3273
Phone (877) 693-5700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00229776 | Other | GA | RAILROAD MEDICARE |
| 009976565 | Medicaid | AL | |
| 725573514A | Medicaid | GA |
Other providers in Nashville, GA
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- Griffin Martin
- Mallory Mathis
- Mandy Carter McMillan
- R Craig Merrifield
- Summer Maria Mingo
- Anna D Money
- Monica a Purvis LPC
All providers in Nashville, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.