Todd R Nicholson, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

103000 Issued in NC

Practice address

3349 US Hwy 1
Vass, NC 28394

Phone

(910) 245-7678

Fax

(910) 245-1444

NPI assigned

Jun 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

FHPG LLCGroup PAC ID 9537481569, 195 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

Merit-based Incentive Payment System (MIPS)

Final score

85.84 of 100Reported as group

Quality

79.14

Promoting interoperability

92

Improvement activities

40

Cost

80.32

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tnicholson17432@firsthealth.direct-ci.net

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.

• FHPG, LLC

  • Family Medicine Physician
  • Lillington, NC
  • NPI 1760329486
  Medicare reassignment Care Compare group
• MCPC-16, LLC

  • Family Medicine Physician
  • Raeford, NC
  • NPI 1114351095
  Medicare reassignment
• MCPC-8, LLC

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1922552322
  Medicare reassignment
• FHPG, LLC

  • Family Medicine Physician
  • Pinehurst, NC
  • NPI 1902323561
  NPD
• FHPG, LLC

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1942196035
  NPD
• MCPC-8, LLC

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1033885249
  NPD
• FHPG, LLC

  • Family Medicine Physician
  • Robbins, NC
  • NPI 1508237967
  NPD (past)

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

• Firsthealth of the Carolinas, Inc

  • Obesity Medicine (Internal Medicine) Physician
  • Pinehurst, NC
  • NPI 1740463967

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc

  • Land Ambulance
  • Pinehurst, NC
  • NPI 1871610378

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  • Oncology Clinic/Center
  • Pinehurst, NC
  • NPI 1417010422

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  • General Acute Care Hospital
  • Pinehurst, NC
  • NPI 1740208081
  Care Compare affiliation

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1396749032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "VASS",
            "state": "NC",
            "postal_code": "283940647",
            "telephone_number": "910-245-7678",
            "fax_number": "910-245-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 US HWY 1",
            "city": "VASS",
            "state": "NC",
            "postal_code": "28394",
            "telephone_number": "910-245-7678",
            "fax_number": "910-245-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "TODD",
        "middle_name": "R",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014UP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louis Joseph Marchetti, MD
• McKeithen Family Care Home
• Moore Family Care PA
• Jennifer Evans Moore, NP
• Neighborhood Youth Leadership
• Lisa Renee Oldroyd, FNP-BC
• Judith Suzanne Rose, LCSW
• Sai Coopers LLC
• Sai Coopers LLC
• Gwen S. Simmons, ED.D., LPC, NBC, MAC

• Medical Physician Assistant in Vass, NC
• Providers in Vass, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.

Verify at the official NPI Registry.