Individual provider Active NPI

John N Nichols, MD

  • Diagnostic Radiology Physician
  • Gadsden, AL
National Provider Identifier
1760478937
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
00018557 Issued in AL
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040210000881 AL Practitioner - Diagnostic Radiology 2264326370
I20100331000390 TN Practitioner - Diagnostic Radiology 2264326370
I20140917000668 NC Practitioner - Diagnostic Radiology 2264326370 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00018557ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Feb 19, 2017 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.

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

Verify at the official NPI Registry.