Active NPI
Jessica McLean Nickles, DO, PHARMD
- Internal Medicine Physician
- Opelika, AL
National Provider Identifier
1710564976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO.3822
- Practice address
- 2000 Pepperell Pkwy
Opelika, AL 36801-5452 - Phone
- (334) 364-3300
- Fax
- (334) 364-3301
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16283 | AL | |
| Internal Medicine Physician | 207R00000X | DO.3822 | AL | Primary |
Addresses
Primary practice location
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Mailing address
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 364-3300
Other practice location 1
1527 Professional Pkwy
Auburn, AL 36830-2858
Phone (334) 364-3300
Other names 1
- Jessica Laura McLean
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Alabama College of Osteopathic Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The East Alabama Health Care Authority
Practice addresses (Care Compare)
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 528-6610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16283 | AL | MD | Pharmacist |
Interoperability endpoints
- jessica.nickles.1@19249.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1710564976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PEPPERELL PKWY",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368015452",
"telephone_number": "334-364-3300",
"fax_number": "334-364-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 PEPPERELL PKWY",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368015452",
"telephone_number": "334-364-3300",
"fax_number": "334-364-3301"
}
],
"practiceLocations": [
{
"address_1": "1527 Professional Pkwy",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "AL",
"postal_code": "368302858",
"country_code": "US",
"telephone_number": "334-364-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICKLES",
"first_name": "JESSICA",
"middle_name": "MCLEAN",
"name_prefix": "Dr.",
"credential": "DO, PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16283",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "DO.3822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "MCLEAN",
"middle_name": "LAURA",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Opelika, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.