Active NPI
Gina Marie Nichols, MD
- Family Medicine Physician
- Pickerington, OH
National Provider Identifier
1821026451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.086704
- Practice address
- 38 E Columbus St
Pickerington, OH 43147-2316 - Phone
- (614) 834-7030
- Fax
- (614) 834-7031
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.086704 | OH | Primary |
Addresses
Primary practice location
38 E Columbus St
Pickerington, OH 43147-2316
Mailing address
38 E Columbus St
Pickerington, OH 43147-2316
Phone (614) 834-7030
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0114511 | Other | OH | UNITED HEALTHCARE OF OHIO |
| 2611267 | Medicaid | OH | |
| 000000377623 | Other | OH | ANTHEM BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Northeastern Ohio University College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1755 Lancaster Ave
Reynoldsburg, OH 43068-3108
Phone (614) 834-7030
Hospital & facility affiliations
- Mount Carmel East & West
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Connect Solutions LLC | Current | Accepting new patients | |
| Central Ohio Medical Management LLC | Family Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Dublin Urgent Care Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Reynoldsburg, OH
- NPI 1962901678
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Reynoldsburg, OH
- NPI 1235694639
-
- Urgent Care Clinic/Center
- Dublin, OH
- NPI 1053308148
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1821026451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 E COLUMBUS ST",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431472316",
"telephone_number": "614-834-7030",
"fax_number": "614-834-7031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 E COLUMBUS ST",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431472316",
"telephone_number": "614-834-7030",
"fax_number": "614-834-7031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "GINA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.086704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OF OHIO",
"identifier": "0114511",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2611267",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000377623",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.