Individual provider Active NPI

Nicole Yvonne Franklin, M.D.

  • Child & Adolescent Psychiatry Physician
  • Placerville, CA
National Provider Identifier
1629275540
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
C165291 Issued in CA
Practice address
670 Placerville Dr Ste 2
Placerville, CA 95667-4200
Phone
(530) 644-2412
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD13453 RI
Child & Adolescent Psychiatry Physician 2084P0804X 30085 SC
Child & Adolescent Psychiatry Physician 2084P0804X 48463 TN
Child & Adolescent Psychiatry Physician 2084P0804X C165291 CA Primary

Addresses

Primary practice location

670 Placerville Dr Ste 2
Placerville, CA 95667-4200

Mailing address

2891 River Vista Way
Mt Pleasant, SC 29466-2408
Phone (843) 261-3053

Other practice location 1

171 Ashley Ave
Charleston, SC 29425-3133
Phone (843) 792-1414

Other practice location 2

1910 Customer Care Way
Atwater, CA 95301-5167
Phone (209) 384-6493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100430000336 SC Practitioner - Psychiatry 5991832578 Reassigns benefits to 3 organizations
I20150512000450 VA Practitioner - Psychiatry 5991832578 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13453RIMDPsychiatry Physician
C165291CAMDChild & Adolescent Psychiatry Physician
48463TNMDChild & Adolescent Psychiatry Physician
30085SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Physicians PC Psychiatry CurrentSince Jun 1, 2015 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Georgetown Memorial Hospital CurrentSince Aug 1, 2018 Accepting new patients
Waccamaw Community Hospital CurrentSince Aug 1, 2018 Accepting new patients
Georgetown Memorial Hospital CurrentSince Aug 1, 2018 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Dec 14, 2017 Accepting new patients
Vanderbilt University Medical Center Psychiatry PastSince Aug 1, 2012 Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

2810 N Parham Rd
Ste 120
Richmond, VA 23294

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

2006 Bremo Rd
Ste 101
Richmond, VA 23226
Phone (804) 282-9425

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1629275540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 RIVER VISTA WAY",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294662408",
            "telephone_number": "843-261-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PLACERVILLE DR STE 2",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674200",
            "telephone_number": "530-644-2412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294253133",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Customer Care Way",
            "address_purpose": "LOCATION",
            "city": "Atwater",
            "state": "CA",
            "postal_code": "953015167",
            "country_code": "US",
            "telephone_number": "209-384-6493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "NICOLE",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD13453",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "30085",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TN",
            "license": "48463",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "C165291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.