Active NPI
Michael Allison Nichols, M.D.
- Radiation Oncology Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 2008-00559
- Practice address
- 1988 S 16TH St
Wilmington, NC 28401-6647 - Phone
- (910) 251-1839
- Fax
- (910) 251-8286
- NPI assigned
- May 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 2008-00559 | NC | Primary |
Addresses
Primary practice location
1988 S 16TH St
Wilmington, NC 28401-6647
Mailing address
PO Box 4574
Wilmington, NC 28406-1574
Phone (910) 251-1839
Other practice location 1
545 Ocean Hwy W
Supply, NC 28462-4047
Phone (910) 754-4716
Other practice location 2
2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 342-3004
Other practice location 3
500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 641-8220
Other practice location 4
1988B S 16th St
Wilmington, NC 28401-6647
Phone (910) 662-8440
Other practice location 5
1988A S 16th St
Wilmington, NC 28401-6647
Phone (910) 662-8440
Other practice location 6
151 Scotts Hill Medical Dr
Wilmington, NC 28411-7983
Phone (910) 662-8440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149RU | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1988 S 16TH St
Wilmington, NC 28401-6647
Phone (910) 662-8440
Hospital & facility affiliations
- Novant Health New Hanover Regional Medical Center
- Novant Health Brunswick Medical Center
- J Arthur Dosher Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-00559 | NC | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Carolina Radiation Oncology, PLLC | Current | Accepting new patients | |
| New Hanover Regional Medical Center | Past | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Past | Accepting new patients |
Locations
200 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (704) 765-2578
545 Ocean Hwy W
Supply, NC 28462
Phone (910) 253-3380
500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
1988 S 16th St
#B
Wilmington, NC 28401
Phone (910) 662-8440
1988 S 16th St
#A
Wilmington, NC 28401
Phone (910) 662-8440
151 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 662-8440
1988 S 16th St
Wilmington, NC 28401
Phone (910) 251-1839
Interoperability endpoints
- mpapagikos@ccradonc.direct.varian.com
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.
-
- Radiation Oncology Clinic/Center
- Wilmington, NC
- NPI 1164448130
-
- Ambulance
- Wilmington, NC
- NPI 1992867170
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wilmington, NC
- NPI 1932958584
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
- Rural Health Clinic/Center
- Oak Island, NC
- NPI 1235405358
Hospital
-
- General Practice Physician
- Bald Head Island, NC
- NPI 1376961219
Hospital
-
- Critical Access Hospital
- Southport, NC
- NPI 1538260229
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1467628644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4574",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284061574",
"telephone_number": "910-251-1839",
"fax_number": "910-251-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1988 S 16TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016647",
"telephone_number": "910-251-1839",
"fax_number": "910-251-8286"
}
],
"practiceLocations": [
{
"address_1": "545 Ocean Hwy W",
"address_purpose": "LOCATION",
"city": "Supply",
"state": "NC",
"postal_code": "284624047",
"country_code": "US",
"telephone_number": "910-754-4716",
"fax_number": "910-754-4530",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2131 S 17th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017407",
"country_code": "US",
"telephone_number": "910-342-3004",
"fax_number": "910-342-3097",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Jefferson St",
"address_purpose": "LOCATION",
"city": "Whiteville",
"state": "NC",
"postal_code": "284723634",
"country_code": "US",
"telephone_number": "910-641-8220",
"fax_number": "910-641-8226",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1988B S 16th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284016647",
"country_code": "US",
"telephone_number": "910-662-8440",
"fax_number": "910-251-8286",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1988A S 16th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284016647",
"country_code": "US",
"telephone_number": "910-662-8440",
"fax_number": "910-251-8286",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "151 Scotts Hill Medical Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284117983",
"country_code": "US",
"telephone_number": "910-662-8440",
"fax_number": "910-667-6733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLS",
"first_name": "MICHAEL",
"middle_name": "ALLISON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-07",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "2008-00559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "149RU",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.