Megan A Nichols

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY004455 Issued in GA

Practice address

229 Remington Ave
Thomasville, GA 31792-5522

Phone

(229) 233-8009

NPI assigned

Dec 11, 2020

Last updated

Dec 11, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mosaic Psychological Services, LLC

  • Psychologist
  • Thomasville, GA
  • NPI 1770011058
  NPD (past)
• North Florida Children's Mental Wellness, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Huntsville, AL
  • NPI 1538676671
  NPD (past)

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1689270837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 REMINGTON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925522",
            "telephone_number": "229-233-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 REMINGTON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925522",
            "telephone_number": "229-233-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MEGAN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "PSY004455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cary Carter Newman, M.D.
• Jessica Newsome
• Joshua S. Newton, M.D.
• Kayla Nguyen
• Randi Grantham Nguyen, MED SLP
• Lakeisha Michele Nicholson-Williams, CNA, CMA, CMT, NLP P
• Elizabeth A Nicholson, LCSW
• Lisa Collete Nichter, L.D.
• Richard Lee Nikkel, CRNA
• Catherine Nipper, COTA

• Clinical Child & Adolescent Psychologist in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Clinical Child & Adolescent Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.