NPIMap

Individual provider Active NPI

Julia Danielle Nicholson, M.D.

  • Family Medicine Physician
  • Monticello, AR
National Provider Identifier
1740415611
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-6623 Issued in AR
Practice address
906 Roberts Drive
Monticello, AR 71655
Phone
(870) 367-6867
NPI assigned
May 21, 2009
Last updated
Oct 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-6623 AR Primary

Addresses

Primary practice location

906 Roberts Drive
Monticello, AR 71655

Mailing address

906 Roberts Drive
Monticello, AR 71655
Phone (870) 367-6867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000342 AR Practitioner - Family PracticePractitioner - Emergency Medicine 2668660564 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Arkansas College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

1609 W 40TH Ave
Pine Bluff, AR 71603-6319

201 Fairview Rd
Suite a
Crossett, AR 71635-4537
Phone (870) 364-0000

733 Roberts Dr
Monticello, AR 71655-5724
Phone 87046047634763

778 Scogin Dr
Monticello, AR 71655-5729
Phone (501) 851-7402

906 Roberts Dr
Monticello, AR 71655-5724

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Hospital Association, Inc Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Emergency Staffing Solutions Region III CurrentSince Apr 15, 2023 Accepting new patients
HCC of Magnolia LLC CurrentSince Apr 15, 2023 Accepting new patients
Arkansas Health Group CurrentSince Aug 30, 2024 Accepting new patients
Jefferson Hospital Association, Inc Current Accepting new patients
Arkansas Health Group CurrentSince Aug 30, 2024 Accepting new patients
Monticello Medical Clinic, PLC Family Medicine Current Accepting new patients
Jefferson Hospital Assn, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Mercy Clinic Fort Smith Communities Past Accepting new patients
MMC Rural Health Clinics, PLLC PastSince Oct 16, 2017 Accepting new patients
Baptist Health Past Accepting new patients

Locations

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Interstate 630
#7
Little Rock, AR 72205
Phone (501) 202-3995

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

906 Roberts Dr
Monticello, AR 71655
Phone (870) 367-6867

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFBDAD
  • Direct secure messaging: julia.nicholson@montmed.eclinicaldirectplus.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1740415611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 ROBERTS DRIVE",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "71655",
            "telephone_number": "870-367-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 ROBERTS DRIVE",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "71655",
            "telephone_number": "870-367-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "JULIA",
        "middle_name": "DANIELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-6623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

Verify at the official NPI Registry.