Active NPI
Harold A Nichols, MD
- Surgery Physician
- Greensboro, NC
National Provider Identifier
1508802778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 22315
- Practice address
- 509D N Elam Ave
North Elam Medical Plaza
Greensboro, NC 27403-1118 - Phone
- (336) 832-0970
- NPI assigned
- Jun 22, 2006
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 22315 | NC | Primary |
Addresses
Primary practice location
509D N Elam Ave
North Elam Medical Plaza
Greensboro, NC 27403-1118
Mailing address
PO Box 26580
Greensboro, NC 27415-6580
Phone (336) 832-8014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8962541 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22315 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H. Cone Memorial Hospital Operating Corporation | Past | Accepting new patients | |
| Rmsa Inc Health Center | Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Family Medicine) Physician
- Reidsville, NC
- NPI 1679525380
Surgery
-
- Certified Registered Nurse Anesthetist
- Greensboro, NC
- NPI 1164438578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508802778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26580",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274156580",
"telephone_number": "336-832-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509D N ELAM AVE",
"address_2": "NORTH ELAM MEDICAL PLAZA",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031118",
"telephone_number": "336-832-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "HAROLD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "22315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8962541",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.