Peachtree Colon and Rectal Clinic

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

35712 Issued in GA

Legal business name

PEACHTREE COLON AND RECTAL CLINIC

Practice address

2001 Peachtree Rd NE
Suite 540
Atlanta, GA 30309-1476

Phone

(404) 351-2001

Fax

(404) 352-8418

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph J Nichols Jr., M.D.NPI 1053409094

Title

Member LLC

Phone

(404) 351-2001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph J Nichols Jr., M.D.

  • Colon & Rectal Surgery Physician
  • Atlanta, GA
  • NPI 1053409094
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1407062706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PEACHTREE RD NE",
            "address_2": "SUITE 540",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091476",
            "telephone_number": "404-351-2001",
            "fax_number": "404-352-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PEACHTREE RD NE",
            "address_2": "SUITE 540",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091476",
            "telephone_number": "404-351-2001",
            "fax_number": "404-352-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE COLON AND RECTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER LLC",
        "authorized_official_telephone_number": "404-351-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "GA",
            "license": "35712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Colon & Rectal Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Colon & Rectal Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.