Madison Haley Nicksic, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

267813 Issued in SC

Practice address

1140 Woodruff Rd Ste 103
Greenville, SC 29607-4173

Phone

(864) 807-6099

NPI assigned

Sep 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Mobile Wound Care, LLC

  • General Practice Physician
  • Greenville, SC
  • NPI 1790523116
  Medicare reassignment NPD

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771027200000",
    "number": "1609602275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WOODRUFF RD STE 103",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074173",
            "telephone_number": "864-807-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WOODRUFF RD STE 103",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074173",
            "telephone_number": "864-807-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKSIC",
        "first_name": "MADISON",
        "middle_name": "HALEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2026-02-14",
        "certification_date": "2026-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "267813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Nickles
• Elizabeth Lawton Nickles
• John Kenneth Nickles, DMD
• Hannah Shull Nicks, MD
• Lillian Mishelle Nicks, FNP
• Nicole Wardell, LLC
• Elyse Nicolette, OTR
• Ashley Dunn Nida
• Laura Grace Niederbrach, OD
• Anne Devereux Niehaus, MD

• Nurse Practitioner in Greenville, SC
• Providers in Greenville, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.