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

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

Hospital & facility affiliations 7

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

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 (985 clinicians)

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 Home health agency · Durham, NC · CCN 347110
  • Well Care Home Health of the Southern Triangle, Inc. Home health agency · Holly Springs, NC · CCN 347336
  • Rex Hospital Hospital · Raleigh, NC · CCN 340114
  • Johnston Health Hospital · Smithfield, NC · CCN 340090
  • Unc Hospitals Hospital · Chapel Hill, NC · CCN 340061
  • Maria Parham Medical Center Hospital · Henderson, NC · CCN 340132

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 IDStateProvider typePAC IDDetails
I20060110001182 NC Practitioner - Internal Medicine 8224051784 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Current Accepting new patients
Unc Physicians Network LLC Internal Medicine Current
since May 1, 2015
Accepting new patients
Gibbons Family Medicine Past
since May 9, 2021
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
since Sep 5, 2021
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
89127APMedicaidNC

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address nicole.collins@unchealth.unc.edu Direct
Direct Messaging Address ncollins99698@direct.UNC.nchie.net Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 6, 2021.

{
    "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

All providers in Garner, NC · Internal Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.