Individual provider Active NPI

James Walton Nichols, MD

  • Emergency Medicine Physician
  • Shreveport, LA
National Provider Identifier
1578502076
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
14178R Issued in LA
Practice address
One St Mary Place
Shreveport, LA 71101
Phone
(318) 681-4500
Fax
(318) 681-4177
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME161754 FL
Emergency Medicine Physician 207P00000X 14178R LA Primary

Addresses

Primary practice location

One St Mary Place
Shreveport, LA 71101

Mailing address

9855 Norris Ferry Rd
Shreveport, LA 71106
Phone (318) 798-3391

Other identifiers 1

IdentifierTypeStateIssuer
1113492MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20080926000250 TN Practitioner - Emergency Medicine 4082781448 Reassigns benefits to 2 organizations
I20170315000239 MS Practitioner - Emergency Medicine 4082781448 Reassigns benefits to 1 organization
I20181024001184 AR Practitioner - Emergency Medicine 4082781448 Reassigns benefits to 1 organization
I20230714002305 FL Practitioner - Emergency Medicine 4082781448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

13139 Sorrento Rd
Pensacola, FL 32507-8777
Phone (850) 746-0020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14178RLAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 13, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 13, 2024 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Acute Care Specialists, Inc. Emergency Medicine Past Accepting new patients
T M Carr MD PC Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

7334 Navarre Pkwy
Navarre, FL 32566
Phone (850) 416-2337

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

13139 Sorrento Rd
Pensacola, FL 32507
Phone (850) 492-0543

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

Organizations & group practices 7

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 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578502076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9855 NORRIS FERRY RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71106",
            "telephone_number": "318-798-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE ST MARY PLACE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-681-4500",
            "fax_number": "318-681-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JAMES",
        "middle_name": "WALTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME161754",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "14178R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1113492",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.