Amy Dawn Nichols, NP-C
Individual provider Active NPI Family Nurse Practitioner · Franklin, GA
NPI 1912501966 · NPPES record last updated Nov 30, 2020
Key facts
- NPI
- 1912501966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN241696 (GA)
- Practice address
- 1236 Franklin Pkwy
Franklin, GA 30217-7508 - Phone
- (706) 675-8669
- NPI assigned
- Nov 30, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN241696 | GA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN241696 | GA | Yes |
Addresses
Primary practice location
1236 Franklin Pkwy
Franklin, GA 30217-7508
Mailing address
415 Old Jones Rd
Whitesburg, GA 30185-2821
Phone (770) 851-9624
Other practice location 1
41 Wellington Mill Rd
Whitesburg, GA 30185-2606
Phone (770) 836-0504
Other practice location 2
4248 Mount Zion Rd
Carrollton, GA 30117-7602
Phone (770) 836-0103
Other providers in Franklin, GA
- Nicole P Irwin
- Patricia Israel
- Juanita Jackson
- Robert William Krach
- Motion Plus Supplies
- Oar to Shore Performance LLC
- Pathways Center for Behavioral and Developmental Disabilities
- Pathways Center for Behavioral and Developmental Growth
- Payton Nichole Phillips
- Pruitthealth - Franklin, LLC
All providers in Franklin, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.