Active NPI
Anthony Nicholas
- Neurology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 74843
- Practice address
- 930 Madison Ave Ste 801
Memphis, TN 38103-3410 - Phone
- (901) 866-8805
- NPI assigned
- Jul 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 18697 | AL | |
| Neurology Physician | 2084N0400X | 74843 | TN | Primary |
Addresses
Primary practice location
930 Madison Ave Ste 801
Memphis, TN 38103-3410
Mailing address
1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809
Other practice location 1
6555 Quince Rd
Memphis, TN 38119-8202
Phone (901) 515-3150
Other practice location 2
880 Madison Ave
Memphis, TN 38103-3409
Phone (901) 545-5946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Texas Medical Branch at Galveston, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
880 Madison Ave
Memphis, TN 38103-3409
Phone (901) 545-6969
930 Madison Ave
Suite 801
Memphis, TN 38103-3410
Phone (901) 866-8790
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Regional One Physicians Inc | Neurology | Current | Accepting new patients |
| Ut Medical Group, Inc. | Current | Accepting new patients | |
| Ut Regional One Physicians Inc | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Ut Medical Group Inc | Neurology | Current | Accepting new patients |
Locations
720 20th St S
Birmingham, AL 35233
Phone (205) 934-4983
1717 6th Ave S
Birmingham, AL 35233
Phone (205) 934-3450
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
619 19th St S
Birmingham, AL 35249
6555 Quince Rd
Memphis, TN 38119
Phone (901) 515-3150
6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085
930 Madison Ave
Ste 801
Memphis, TN 38103
Phone (901) 866-8605
1068 Cresthaven Rd
Ste 300
Memphis, TN 38119
Phone (901) 683-0024
930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650
880 Madison Ave
Memphis, TN 38103
Phone (901) 515-3500
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Ophthalmology Physician
- Memphis, TN
- NPI 1326919200
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1285042028
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1144213117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1588695928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1068 CRESTHAVEN RD STE 300",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381190809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 MADISON AVE STE 801",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033410",
"telephone_number": "901-866-8805"
}
],
"practiceLocations": [
{
"address_1": "6555 Quince Rd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381198202",
"country_code": "US",
"telephone_number": "901-515-3150",
"fax_number": "901-515-3179",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "880 Madison Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381033409",
"country_code": "US",
"telephone_number": "901-545-5946",
"fax_number": "901-515-4748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLAS",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AL",
"license": "18697",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "74843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.