Nicole A Collins, MD
Individual provider Active NPI Internal Medicine Physician · Garner, NC
NPI 1760419261 · NPPES record last updated May 6, 2021
Key facts
- NPI
- 1760419261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 9801622 (NC)
- Practice address
- 1175 US 70 Hwy W
Garner, NC 27529-2547 - Phone
- (984) 215-6420
- Fax
- (984) 215-6421
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Pennsylvania State University College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Unc Physicians Network LLC
Practice addresses (Care Compare)
1175 US 70 Hwy W
Garner, NC 27529-2547
Phone (984) 215-6420
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123
Hospital & facility affiliations
- Amedisys Home Health
- Well Care Home Health of the Southern Triangle, Inc.
- Rex Hospital
- Johnston Health
- Unc Hospitals
- Maria Parham Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060110001182 | NC | Practitioner - Internal Medicine | 8224051784 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Unc Physicians Network LLC | Internal Medicine | Current |
Accepting new patients |
| Gibbons Family Medicine | Past |
Accepting new patients | |
| Johnston Primary Care Physician Services Inc | Internal Medicine | Past | Accepting new patients |
| Louisburg Hma Physician Management, LLC | Internal Medicine | Past | Accepting new patients |
| Williamston Clinic Corp | Internal Medicine | Past |
Accepting new patients |
Locations
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
1175 US 70 Hwy W
Garner, NC 27529
Phone (984) 215-6420
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624
514 N Brightleaf Blvd
Ste 1610
Smithfield, NC 27577
Phone (919) 934-8171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 9801622 | NC | |
| Internal Medicine Physician | 207R00000X | 9801622 | NC | Yes |
Addresses
Primary practice location
1175 US 70 Hwy W
Garner, NC 27529-2547
Mailing address
2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89127AP | Medicaid | NC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nicole.collins@unchealth.unc.edu | Direct | |
| Direct Messaging Address | ncollins99698@direct.UNC.nchie.net | Direct |
NPI Registry JSON
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1760419261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PERIMETER PARK DR STE 200",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275608442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 US 70 HWY W",
"city": "GARNER",
"state": "NC",
"postal_code": "275292547",
"telephone_number": "984-215-6420",
"fax_number": "984-215-6421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "NICOLE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2021-05-06",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NC",
"license": "9801622",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9801622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89127AP",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nicole.collins@unchealth.unc.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "1175 US 70 Hwy W",
"city": "Garner",
"state": "NC",
"country_code": "US",
"postal_code": "275292547",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ncollins99698@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "1175 US 70 Hwy W",
"city": "Garner",
"state": "NC",
"country_code": "US",
"postal_code": "275292547",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Garner, NC
- Megan Colbert
- Jason Robert Cole
- Melissa Elena Cole
- Sara Coleman
- Linda Ines Collazo-Batista
- Eva Colon
- Comfortable Living Home Care
- Comfortable Living Home Care
- Community Care of North Carolina, Inc.
- Community Chiropractic PA
All providers in Garner, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.