Active NPI
Nicole Lynn McCarthy, PA-C
- Physician Assistant
- Lawrenceville, GA
National Provider Identifier
1649659780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007599
- Practice address
- 771 Old Norcross Rd
Suites 155 and 390
Lawrenceville, GA 30046-4386 - Phone
- (678) 957-0757
- Fax
- (678) 957-9597
- NPI assigned
- May 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007599 | GA | Primary |
Addresses
Primary practice location
771 Old Norcross Rd
Suites 155 and 390
Lawrenceville, GA 30046-4386
Mailing address
900 Circle 75 Pkwy SE
Suite 1700
Atlanta, GA 30339-3035
Phone (770) 953-6929
Other names 1
- Nicole Lynn Firsich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoatlanta, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Aiken, SC
- NPI 1427887157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1649659780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CIRCLE 75 PKWY SE",
"address_2": "SUITE 1700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393035",
"telephone_number": "770-953-6929",
"fax_number": "770-953-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 OLD NORCROSS RD",
"address_2": "SUITES 155 AND 390",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464386",
"telephone_number": "678-957-0757",
"fax_number": "678-957-9597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "NICOLE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-21",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "007599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "FIRSICH",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.