Donald E Nichols III, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD001499 Issued in GA

Practice address

180 Legacy Point, Suite 102
Clayton, GA 30525-5354

Phone

(706) 886-9441

NPI assigned

Mar 3, 2006

Last updated

May 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medlink Georgia IncGroup PAC ID 3274442850, 93 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain Lakes Medical Center Hospital, Clayton, GA, CCN 111336
• St Mary's Hospital Hospital, Athens, GA, CCN 110006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: donald.nichols.1@9864.direct.athenahealth.com
• Direct secure messaging: donald.nicholsiii@mgi.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Colbert, GA
  • NPI 1396794541

  Podiatrist

  Medicare reassignment Care Compare group NPD
• Medlink Georgia, Inc

  dba MedLink Commerce Family Foot Clinic

  • Podiatric Clinic/Center
  • Commerce, GA
  • NPI 1619627460
  NPD
• Medlink Georgia, Inc

  • Federally Qualified Health Center (FQHC)
  • Clayton, GA
  • NPI 1992447247

  Podiatrist

  NPD
• Dupage Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Wheaton, IL
  • NPI 1073902474
  NPD
• Dupage Medical Group LTD

  dba DuPage Medical Group

  • Multi-Specialty Clinic/Center
  • Downers Grove, IL
  • NPI 1801833983
  NPD
• Family Foot Care Center

  dba Jon T. Middleton, DPM, PC

  • Podiatrist
  • Commerce, GA
  • NPI 1407032337
  NPD (past)
• Medlink Georgia Inc

  dba Medlink Colbert Building 2

  • Federally Qualified Health Center (FQHC)
  • Colbert, GA
  • NPI 1669951414
  NPD (past)
• Medlink Georgia, Inc

  dba MedLink Cleveland Specialty Services

  • Podiatric Clinic/Center
  • Cleveland, GA
  • NPI 1427708270
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Professional Resources Management of Rabun, LLC

  dba Mountain Lakes Medical Center

  • Critical Access Hospital
  • Clayton, GA
  • NPI 1326191180
  Care Compare affiliation
• St. Mary's Hospital, Inc.

  dba St. Mary's Hospital

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1871556621
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1871560235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "COLBERT",
            "state": "GA",
            "postal_code": "306280459",
            "telephone_number": "706-788-3234",
            "fax_number": "706-788-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 LEGACY POINT, SUITE 102",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305255354",
            "telephone_number": "706-886-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "DONALD",
        "middle_name": "E",
        "name_suffix": "III",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001499",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001499",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Medical Specilities Inc
• Mountain Physical Therapy Inc
• Mountain View Health & Rehab LLC (Mountain View Health Care)
• Jamie Lynn Nash, MS, OTR/L
• Mary Ellen Nelms, LDO
• Jason Nichols, PHARMD
• Nna of Georgia, Inc. (Fresenius Medical Care Clayton Dialysis)
• Kimberli Dawn Patrick, M.ED, LPC
• Patterson Family Smiles, LLC
• Elizabeth J Pelaccio, LCSW

• Podiatrist in Clayton, GA
• Providers in Clayton, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.

Verify at the official NPI Registry.