Georgina Nichols MD PA

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

GEORGINA NICHOLS MD PA

Practice address

915 Middle River Dr Ste 213
Fort Lauderdale, FL 33304-3560

Phone

(561) 529-5077

Fax

(877) 561-5267

NPI assigned

Sep 21, 2026

Organization subpart

No

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

Authorized official

Name

Georgina Nichols, MD

Title

Ceo

Phone

(561) 529-5077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1770495202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 SW 160TH AVE APT 220",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275707",
            "telephone_number": "561-529-5077",
            "fax_number": "877-561-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MIDDLE RIVER DR STE 213",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043560",
            "telephone_number": "561-529-5077",
            "fax_number": "877-561-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGINA NICHOLS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-20",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-529-5077",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George C Button MD PA
• George Georgakakis M.D. P.a.
• George P Azar Jr MD PA
• Robert A George, MD
• Lillian Dicks Georgia
• Gerald H Rappaport DC PA
• Gerard Wasselle DMD LLC
• Sophia Gerard
• Jeremy Gerber, D.M.D.
• Geriatric Health Systems Inc.

• Plastic and Reconstructive Surgery Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.