Active NPI
John N Nichols, MD
- Diagnostic Radiology Physician
- Gadsden, AL
National Provider Identifier
1760478937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 00018557
- Practice address
- 600 S 3Rd St
Gadsden, AL 35901-5304 - Phone
- (256) 543-0420
- Fax
- (256) 543-0428
- NPI assigned
- Sep 23, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 00018557 | AL | Primary |
Addresses
Primary practice location
600 S 3Rd St
Gadsden, AL 35901-5304
Mailing address
PO Box 8314
Gadsden, AL 35902-8314
Phone (256) 393-3503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, TN, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00018557 | AL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Radiology Group-DFW P a | Diagnostic Radiology | Past | Accepting new patients |
| American Diagnostics Services LLC | Past | Accepting new patients | |
| Riverview Reginal Medical Center, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Community Mobile Ultrasound, LLC | Past | Accepting new patients | |
| Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
| Pin Point Radiology Management, L.P. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 7
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.
-
dba Rely Radiology Group of California
- Diagnostic Radiology Physician
- San Leandro, CA
- NPI 1134424005
NC
-
- Diagnostic Radiology Physician
- Birmingham, AL
- NPI 1922058528
-
- Diagnostic Radiology Physician
- Sylacauga, AL
- NPI 1811944242
-
dba Riverview Radiology Professionals
- Diagnostic Radiology Physician
- Gadsden, AL
- NPI 1609817287
-
dba TridentCare
- Physiological Laboratory
- Hunt Valley, MD
- NPI 1487954913
-
dba TridentCare
- Diagnostic Ultrasound Physician
- Oceanside, CA
- NPI 1760620959
-
- Diagnostic Radiology Physician
- Corsicana, TX
- NPI 1275865503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760478937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8314",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359028314",
"telephone_number": "256-393-3503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S 3RD ST",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359015304",
"telephone_number": "256-543-0420",
"fax_number": "256-543-0428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "JOHN",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "00018557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.