Active NPI
Christopher W Nicholson, MD
- Orthopaedic Surgery Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 57734
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901024 | Medicaid | NC | |
| 788032045F | Medicaid | GA | |
| N01659 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 LLC
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
- St Joseph'S Hospital - Savannah
- Beaufort County Memorial Hospital
- Memorial Health Meadows Hospital
- Novant Health Hilton Head Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004-01658 | NC | MD | Orthopaedic Surgery Physician |
| MD30266 | SC | MD | Orthopaedic Surgery Physician |
| 57734 | GA | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optim Orthopedics LLC | Current | Accepting new patients | |
| Tattnall Hospital Company, LLC | Current | Accepting new patients | |
| Tattnall Hospital Company, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Optim Orthopedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Optim Orthopedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Optim Orthopedics, LLC | Orthopaedic Surgery | Current | 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 | Past | 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
- 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.
-
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1780077982
-
- Critical Access Hospital
- Reidsville, GA
- NPI 1790942381
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Savannah, GA
- NPI 1437601598
-
- Orthopaedic Surgery Physician
- Jesup, GA
- NPI 1467845404
-
- Orthopaedic Surgery Physician
- Sylvania, GA
- NPI 1386455376
-
- Orthopaedic Surgery Physician
- Richmond Hill, GA
- NPI 1548653330
-
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
-
- Orthopaedic Surgery Physician
- Reidsville, GA
- NPI 1518613728
-
- Pain Medicine Physician
- Hinesville, GA
- NPI 1326409442
Orthopaedic Surgery
-
- Physical Medicine & Rehabilitation Physician
- Swainsboro, GA
- NPI 1467883892
Orthopaedic Surgery
-
- Internal Medicine Physician
- Dublin, GA
- NPI 1558878884
Orthopaedic Surgery
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
-
- General Acute Care Hospital
- Vidalia, GA
- NPI 1790376564
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
-
- General Acute Care Hospital
- Hilton Head Island, SC
- NPI 1902675101
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.