Timothy P Nichols, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

72507 Issued in FL

Practice address

615 N Bonita Ave
Panama City, FL 32401-3623

Phone

(888) 313-5258

Fax

(205) 313-5298

NPI assigned

Aug 15, 2005

Last updated

Jun 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

General Practice

Education

Louisiana State University School of Medicine in New Orleans, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emerald Coast Urgent Care LLCGroup PAC ID 8224125869, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.97 of 100Reported as group

Quality

74.1

Promoting interoperability

100

Improvement activities

40

Cost

75.78

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1941/brand/1/csg/1/fhir/r4
• Direct secure messaging: timothy.nichols.1@1941.direct.athenahealth.com

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.

• Emerald Coast Urgent Care LLC

  • Urgent Care Clinic/Center
  • Destin, FL
  • NPI 1396865556
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1720080229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2762 CONTINENTAL DR",
            "address_2": "STE 201",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083240",
            "telephone_number": "888-313-5258",
            "fax_number": "205-313-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N BONITA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013623",
            "telephone_number": "888-313-5258",
            "fax_number": "205-313-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "72507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF GRP # 98513",
            "identifier": "42672",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255405400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NHC Pensacola (DoD PANAMA CITY NBHC ePhcy)
• NHC-Op LP (NHC HomeCare-Panama City)
• Brittany Danielle Nichol, APRN, FNP-C
• Nichols & Associates Physical Theraphy Specialist Inc
• Donna Soave Nichols, P.T.
• Nathanael Wayne Nickel, MD
• Tabitha K Nieto
• Kimberley Guiler Nixon, BCBA
• NKBH LLC (HeartSouth)
• No Place Like Homecare Services, LLC

• Emergency Medicine Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.

Verify at the official NPI Registry.