Individual provider Active NPI

John Alexander Nicholson, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Georgetown, SC
National Provider Identifier
1801823745
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
SC 15656 Issued in SC
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

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
156565MedicaidSC

Electronic endpoints 3

TypeEndpointUseAffiliation
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, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 0143453670, 54 clinicians
Georgetown Physician Associates, LLCGroup PAC ID 2365697398, 221 clinicians

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 Hospital, Georgetown, SC, CCN 420020
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15656SCMDSocial Worker
SC 15656SCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Current Accepting new patients
Georgetown Physician Associates, LLC Current Accepting new patients
Abbeville County Memorial Hospital CurrentSince May 2, 2022 Accepting new patients
Georgetown Physician Associates, LLC CurrentSince Jan 6, 2025 Accepting new patients
Roper Saint Francis Physicians Network Physical Medicine & Rehabilitation CurrentSince Feb 1, 2019 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Feb 1, 2019 Accepting new patients
Pain Management Group LLC CurrentSince Feb 1, 2022 Accepting new patients
Abbeville County Memorial Hospital CurrentSince May 2, 2022 Accepting new patients
Georgetown Physician Associates LLC CurrentSince Jan 6, 2025 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

  • Direct secure messaging: 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.

View all 15

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

Verify at the official NPI Registry.