Active NPI
John Alexander Nicholson, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Georgetown, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- SC 15656
- Practice address
- 606 Black River Rd Ste 101
Georgetown, SC 29440-3304 - Phone
- (843) 545-5927
- Fax
- (843) 520-4780
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | SC 15656 | SC | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | SC 15656 | SC | Primary |
Addresses
Primary practice location
606 Black River Rd Ste 101
Georgetown, SC 29440-3304
Mailing address
PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000
Other practice location 1
2200 Crow Ln Ste 202
Myrtle Beach, SC 29577-1663
Phone (843) 545-5927
Other practice location 2
4040 Highway 17 Unit 206
Murrells Inlet, SC 29576-5098
Phone (843) 652-8260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156565 | Medicaid | SC |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jnicholson507727@direct.musc.edu | Direct | Georgetown Physician Associates, LLC |
| Direct Messaging Address | jnicholson507727@direct.musc.edu | Direct | Georgetown Physician Associates, LLC |
| Direct Messaging Address | jnicholson507727@direct.musc.edu | Direct | Georgetown Physician Associates, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040513000649 | SC | Practitioner - Physical Medicine and Rehabilitation | 4385539022 | Reassigns benefits to 3 organizations |
| I20220421001351 | OH | Practitioner - Physical Medicine and Rehabilitation | 4385539022 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Medical College of Georgia School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pain Management Group LLCGeorgetown Physician Associates, LLC
Practice addresses (Care Compare)
1210 Neal Dr
Cambridge, OH 43725-1143
Phone (740) 439-8898
606 Black River Rd
Suite 101
Georgetown, SC 29440-3304
Phone (843) 545-5927
Hospital & facility affiliations
- Tidelands Georgetown Memorial Hospital
- Tidelands Waccamaw Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15656 | SC | MD | Social Worker |
| SC 15656 | SC | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Georgetown Physician Associates, LLC | Current | Accepting new patients | |
| Abbeville County Memorial Hospital | Current | Accepting new patients | |
| Georgetown Physician Associates, LLC | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Pain Management Group LLC | Current | Accepting new patients | |
| Abbeville County Memorial Hospital | Current | Accepting new patients | |
| Georgetown Physician Associates LLC | Current | Accepting new patients | |
| Georgetown Physician Services, LLC | Past | Accepting new patients | |
| Advanced Pain Relief Center | Past | Accepting new patients |
Locations
442 W High St
Bryan, OH 43506
Phone (260) 266-8210
1210 Neal Dr
Cambridge, OH 43725
Phone (740) 435-2350
420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
2145 Henry Tecklenburg Dr
Ste 220
Charleston, SC 29414
Phone (843) 958-2555
606 Black River Rd
Ste 101
Georgetown, SC 29440
Phone (843) 545-5927
2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443
4040 Highway 17
Unit 206
Murrells Inlt, SC 29576
Phone (843) 652-1100
2200 Crow Ln
Ste 202
Myrtle Beach, SC 29577
Phone (843) 545-5927
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231
Interoperability endpoints
- jnicholson507727@direct.musc.edu
Organizations & group practices 15
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.
-
- Rural Health Clinic/Center
- Andrews, SC
- NPI 1104995372
-
- Rural Health Clinic/Center
- Pawleys Island, SC
- NPI 1306028832
-
- Rural Health Clinic/Center
- Hemingway, SC
- NPI 1588716815
-
- Rural Health Clinic/Center
- Georgetown, SC
- NPI 1841364007
-
- Adult Medicine Physician
- Due West, SC
- NPI 1689048464
-
- Family Medicine Physician
- Georgetown, SC
- NPI 1881410587
-
- Pain Medicine (Anesthesiology) Physician
- Murrells Inlet, SC
- NPI 1053704627
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
Hospital & facility affiliations 3
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": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1801823745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421718",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294424203",
"telephone_number": "843-527-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 BLACK RIVER RD STE 101",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294403304",
"telephone_number": "843-545-5927",
"fax_number": "843-520-4780"
}
],
"practiceLocations": [
{
"address_1": "2200 Crow Ln Ste 202",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295771663",
"country_code": "US",
"telephone_number": "843-545-5927",
"fax_number": "843-520-4780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4040 Highway 17 Unit 206",
"address_purpose": "LOCATION",
"city": "Murrells Inlet",
"state": "SC",
"postal_code": "295765098",
"country_code": "US",
"telephone_number": "843-652-8260",
"fax_number": "843-652-8269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLSON",
"first_name": "JOHN",
"middle_name": "ALEXANDER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "SC 15656",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "SC",
"license": "SC 15656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156565",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jnicholson507727@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2200 Crow Ln Ste 202",
"city": "Myrtle Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295771663",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jnicholson507727@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging Address",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "606 Black River Rd Ste 101",
"city": "Georgetown",
"state": "SC",
"country_code": "US",
"postal_code": "294403304",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jnicholson507727@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4040 Highway 17 Unit 206",
"city": "Murrells Inlet",
"state": "SC",
"country_code": "US",
"postal_code": "295765098",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Georgetown, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.