Nicole Jane Camp, FNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN217901 Issued in GA

Practice address

601 Professional Drive
Lawrenceville, GA 30046

Phone

(678) 393-6348

Fax

(678) 541-6763

NPI assigned

Jan 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Nicole Hicks Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dekalb Women'S Specialists

  • Obstetrics & Gynecology Physician
  • Lithonia, GA
  • NPI 1275845893
  NPD (past)
• Dekalb Women'S Specialists

  • Obstetrics & Gynecology Physician
  • Stone Mountain, GA
  • NPI 1851604995
  NPD (past)
• Dekalb Women'S Specialists 2 LLC

  • Obstetrics & Gynecology Physician
  • Decatur, GA
  • NPI 1366572067
  NPD (past)
• Meadows Surgical Arts

  • Gynecology Physician
  • Commerce, GA
  • NPI 1316178171
  NPD (past)
• Meadows Surgical Arts

  • Specialist
  • Toccoa, GA
  • NPI 1942435516
  NPD (past)

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1477910941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PROFESSIONAL DRIVE",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "678-393-6348",
            "fax_number": "678-541-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PROFESSIONAL DRIVE",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "678-393-6348",
            "fax_number": "678-541-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "NICOLE",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GA",
            "license": "RN217901",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN 217901",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN217901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "RN 217901",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HICKS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tanesha Callahan, LPC
• Samella Calvin
• Bradley Cameron, PAC
• Nadia G Cameron, M.D.
• Ryan Cameron
• Maria Sheila Laja Campanano, P.T.
• Katherine Elaine Campbell Thomas, NP
• Ashley Nicole Campbell
• Barry Charles Campbell, RPH
• James Tyler Campbell, CRNA

• Registered Nurse in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.