Active NPI
Nicklaus Trent Rice, M.D.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- GA72427
- Practice address
- 2750 Owens Dr
Conyers, GA 30094 - Phone
- (678) 413-4644
- NPI assigned
- Apr 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD0000046779 | TN | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | GA72427 | GA | Primary |
Addresses
Primary practice location
2750 Owens Dr
Conyers, GA 30094
Mailing address
2750 Owens Rd SW
Conyers, GA 30094-3991
Phone (678) 413-4644
Other practice location 1
3601 Tvc
Nashville, TN 37232-0001
Phone (615) 322-3000
Other practice location 2
3601 Tvc
Nashville, TN 37232-0001
Phone (615) 322-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- Obstetrics/Gynecology
- Education
- Medical College of Georgia School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Eagle Spring Court
Suite B
Stockbridge, GA 30281-6441
2750 Owens Dr
Suite a
Conyers, GA 30094
2750 Owens SW Rd
Suite a
Conyers, GA 30094
Phone (678) 413-4644
2750 Owens SW Rd
Suite a
Conyers, GA 30094-3991
Hospital & facility affiliations
- Piedmont Henry Hospital
- Piedmont Rockdale Hospital
- Piedmont Newton Hospital
- Piedmont Fayette Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 11 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA72427 | GA | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
| MD0000046779 | TN | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Womens Center PC | Gynecology | Current | Accepting new patients |
Locations
2750 Owens Rd SW
Ste A
Conyers, GA 30094
Phone (678) 413-4644
2750 Owens Rd SW
Conyers, GA 30094
Phone (678) 413-4644
140 Eagle Spring Ct
Ste B
Stockbridge, GA 30281
Phone (770) 302-0878
Interoperability endpoints
- https://api.platform.athenahealth.com/12492/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Gynecology Physician
- Conyers, GA
- NPI 1871654624
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
-
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1508155268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 OWENS RD SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300943991",
"telephone_number": "678-413-4644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 OWENS DR",
"city": "CONYERS",
"state": "GA",
"postal_code": "30094",
"telephone_number": "678-413-4644"
}
],
"practiceLocations": [
{
"address_1": "3601 Tvc",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372320001",
"country_code": "US",
"telephone_number": "615-322-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3601 Tvc",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372320001",
"country_code": "US",
"telephone_number": "615-322-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICE",
"first_name": "NICKLAUS",
"middle_name": "TRENT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-04",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TN",
"license": "MD0000046779",
"primary": false
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "GA",
"license": "GA72427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.