Christopher E Nicholls, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

00025417 Issued in AL

Practice address

4300 West Main St
Womens Healthcare of Dothan PC Ste 31
Dothan, AL 36305-4300

Phone

(334) 793-6511

Fax

(334) 677-5642

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Obstetrics/Gynecology

Education

University of South Alabama College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wiregrass Clinic LLCGroup PAC ID 2860662491, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Flowers Hospital Hospital, Dothan, AL, CCN 010055
• Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christopher.nicholls.1@3326.direct.athenahealth.com

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.

• Wiregrass Clinic LLC

  • Neurological Surgery Physician
  • Dothan, AL
  • NPI 1558657890
  Medicare reassignment Care Compare group NPD
• Womens Healthcare of Dothan PC

  • Specialist
  • Dothan, AL
  • NPI 1518912351
  Medicare reassignment NPD Authorized official
• Women'S Healthcare of Dothan, PC

  • Obstetrics & Gynecology Nurse Practitioner
  • Dothan, AL
  • NPI 1396305579
  NPD Authorized official
• Triad of Alabama LLC

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1801830500
  NPD (past)

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

• Houston County Healthcare Authority

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1164403861
  Care Compare affiliation
• Triad of Alabama LLC

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1801830500
  Care Compare affiliation

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1528025855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 WEST MAIN ST",
            "address_2": "STE 31",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054300",
            "telephone_number": "334-793-6511",
            "fax_number": "334-677-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WEST MAIN ST",
            "address_2": "WOMENS HEALTHCARE OF DOTHAN PC STE 31",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054300",
            "telephone_number": "334-793-6511",
            "fax_number": "334-677-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLLS",
        "first_name": "CHRISTOPHER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "00025417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009938165",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D'Angeleau Newsome, DO
• Daniel Anthony Newton Jr., R.PH.
• DO Tu Nguyen, M.D.
• Quoc Nguyen
• Marcey Nicholas, CRNP
• Eugene W Nicholls, O.D.
• Melanie P. Nicholls, MD
• Kimberly K Nichols, CRNP PHD
• Randall Wayne Nichols, M.D.
• Nicole N Thorson, LLC

• Obstetrics & Gynecology Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.

Verify at the official NPI Registry.