Individual provider Active NPI

Christopher W Nicholson, MD

  • Orthopaedic Surgery Physician
  • Savannah, GA
National Provider Identifier
1821071044
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
57734 Issued in GA
Practice address
210 E Derenne Ave
Savannah, GA 31405-6736
Phone
(912) 644-5300
Fax
(912) 644-5260
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 57734 GA
Orthopaedic Surgery Physician 207X00000X 57734 GA Primary
Orthopaedic Surgery Physician 207X00000X MD30266 SC
Orthopaedic Surgery Physician 207X00000X 2004-01658 NC

Addresses

Primary practice location

210 E Derenne Ave
Savannah, GA 31405-6736

Mailing address

210 E Derenne Avenue
Savannah, GA 31405
Phone (912) 644-5300

Other practice location 1

25 Hospital Center Blvd Ste 100
Hilton Head, SC 29926-2735
Phone (800) 827-6536

Other practice location 2

60 Exchange St Ste B1
Richmond Hill, GA 31324-7646
Phone (912) 756-2273

Other practice location 3

16915 Highway 67 Ste A
Statesboro, GA 30458-5819
Phone (912) 681-2500

Other practice location 4

166 Memorial Dr
Jesup, GA 31545-0101
Phone (912) 427-0800

Other practice location 5

101 W Mulberry Blvd, Ste 140
Pooler, GA 31322
Phone (912) 748-5111

Other practice location 6

8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401

Other practice location 7

602 E Long St
Claxton, GA 30417-5914
Phone (912) 739-3275

Other practice location 8

8 N Williams St
Metter, GA 30439-4547
Phone (912) 685-3550

Other practice location 9

810 Towne Park Dr Ste 200
Rincon, GA 31326-5167
Phone (912) 826-2533

Other identifiers 3

IdentifierTypeStateIssuer
5901024MedicaidNC
788032045FMedicaidGA
N01659MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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
I20060817000131 GA Practitioner - Orthopedic Surgery 0840226569 Reassigns benefits to 2 organizations
I20080204000042 SC Practitioner - Orthopedic Surgery 0840226569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optim Orthopedics LLCGroup PAC ID 9931427002, shared by 9 NPIs, 101 clinicians

Practice addresses (Care Compare)

210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300

8201 Pinellas Dr
Bluffton, SC 29910-4133
Phone (843) 705-9401

Hospital & facility affiliations

  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
  • Memorial Health Meadows Hospital Hospital, Vidalia, GA, CCN 110128
  • Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2004-01658NCMDOrthopaedic Surgery Physician
MD30266SCMDOrthopaedic Surgery Physician
57734GAMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optim Orthopedics LLC CurrentSince Apr 1, 2015 Accepting new patients
Tattnall Hospital Company, LLC Current Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery CurrentSince Mar 1, 2016 Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery Current Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery CurrentSince Apr 1, 2015 Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery CurrentSince Apr 1, 2015 Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Orthopaedic Surgery Past Accepting new patients
Optim Orthopedics, LLC Orthopaedic Surgery PastSince Oct 6, 2019 Accepting new patients
Tattnall Hospital Company LLC Orthopaedic Surgery Past Accepting new patients

Locations

821 S Main St
Ste C
Baxley, GA 31513
Phone (912) 367-5486

602 E Long St
Claxton, GA 30417
Phone (912) 739-2509

242 Industrial Blvd
Dublin, GA 31021
Phone (478) 272-3140

790 Veterans Parkway
Ste 111
Hinesville, GA 31313
Phone (912) 368-3868

166 Memorial Dr
Jesup, GA 31545
Phone (912) 427-2111

8 N Williams St
Metter, GA 30439
Phone (912) 685-3550

961 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-0120

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

60 Exchange St
Ste B1
Richmond Hill, GA 31324
Phone (912) 756-2273

810 Towne Park Dr
Ste 200
Rincon, GA 31326
Phone (912) 826-2533

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

16915 Highway 67
#A
Statesboro, GA 30458
Phone (912) 681-2500

119B Victory Dr
Swainsboro, GA 30401
Phone (478) 237-7676

102 Rocky Ford Rd
Sylvania, GA 30467
Phone (912) 564-2155

209 Mims Rd
#A
Sylvania, GA 30467
Phone (912) 564-5236

1724 Old Reynolds St
#B
Waycross, GA 31501

8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401

25 Hospital Ctr
Ste 100
Hilton Head Island, SC 29926
Phone (843) 681-9489

Interoperability endpoints

  • Direct secure messaging: christopher.nicholson.1@16403.direct.athenahealth.com

Organizations & group practices 13

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 13

Hospital & facility affiliations 5

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1821071044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E DERENNE AVENUE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E DERENNE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056736",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Hospital Center Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hilton Head",
            "state": "SC",
            "postal_code": "299262735",
            "country_code": "US",
            "telephone_number": "800-827-6536",
            "fax_number": "912-644-5241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Exchange St Ste B1",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313247646",
            "country_code": "US",
            "telephone_number": "912-756-2273",
            "fax_number": "912-756-3773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16915 Highway 67 Ste A",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585819",
            "country_code": "US",
            "telephone_number": "912-681-2500",
            "fax_number": "912-681-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315450101",
            "country_code": "US",
            "telephone_number": "912-427-0800",
            "fax_number": "912-427-6029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Mulberry Blvd, Ste 140",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "31322",
            "country_code": "US",
            "telephone_number": "912-748-5111",
            "fax_number": "912-748-6699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 Pinellas Dr",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "29910",
            "country_code": "US",
            "telephone_number": "843-705-9401",
            "fax_number": "843-705-9402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 E Long St",
            "address_purpose": "LOCATION",
            "city": "Claxton",
            "state": "GA",
            "postal_code": "304175914",
            "country_code": "US",
            "telephone_number": "912-739-3275",
            "fax_number": "912-439-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 N Williams St",
            "address_purpose": "LOCATION",
            "city": "Metter",
            "state": "GA",
            "postal_code": "304394547",
            "country_code": "US",
            "telephone_number": "912-685-3550",
            "fax_number": "912-685-3553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Towne Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313265167",
            "country_code": "US",
            "telephone_number": "912-826-2533",
            "fax_number": "912-826-2572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "GA",
            "license": "57734",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "57734",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "MD30266",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2004-01658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901024",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788032045F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01659",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.