Individual provider Active NPI

Nicklaus Trent Rice, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Conyers, GA
National Provider Identifier
1508155268
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
GA72427 Issued in GA
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

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140924001135 GA Practitioner - Obstetrics/Gynecology 1052589074 Reassigns benefits to 1 organization

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
The Womens Center PCGroup PAC ID 9931196516, 4 clinicians

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 Hospital, Stockbridge, GA, CCN 110191
  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091
  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal of the uterus1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GA72427GAMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician
MD0000046779TNMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Womens Center PC Gynecology CurrentSince Sep 30, 2014 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

  • FHIR API: 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.

Hospital & facility affiliations 4

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

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

Verify at the official NPI Registry.