Individual provider Active NPI

Joshua Nichols, DPM

  • Podiatrist
  • Tallahassee, FL
National Provider Identifier
1790281475
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4281 Issued in FL
Practice address
1866 Buford Blvd
Tallahassee, FL 32308-4442
Phone
(850) 878-6998
Fax
(850) 656-0203
NPI assigned
Apr 2, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4281 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1866 Buford Blvd
Tallahassee, FL 32308-4442

Mailing address

1866 Buford Blvd
Tallahassee, FL 32308-4442
Phone (580) 878-6998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713000627 FL Practitioner - Podiatry 9638426984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Podiatry Associates PAGroup PAC ID 1759333198, 5 clinicians

Practice addresses (Care Compare)

1866 Buford Blvd
Tallahassee, FL 32308-4442
Phone 8508786998112

Hospital & facility affiliations

  • HCA Florida Capital Hospital Hospital, Tallahassee, FL, CCN 100254

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue57
Removal of skin lesions42
Removal of nail tissue441
Removal or shaving of skin growth51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4281FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Podiatry Associates PA Podiatrist CurrentSince Jul 8, 2021 Accepting new patients
Tallahassee Podiatry Associates PA Podiatrist CurrentSince Jul 8, 2021 Accepting new patients

Locations

1866 Buford Blvd
Tallahassee, FL 32308
Phone (850) 878-6998

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1b51b01a-cf35-4022-974c-7633d8b348f9/
  • Direct secure messaging: jnichols21877@tallahasseememorial.direct-ci.com

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1790281475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 BUFORD BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084442",
            "telephone_number": "580-878-6998",
            "fax_number": "850-656-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 BUFORD BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084442",
            "telephone_number": "850-878-6998",
            "fax_number": "850-656-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JOSHUA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4281",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.