Charles G Nichols, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16295 Issued in KY

Practice address

1311 Strawberry LN
Lexington, KY 40502-2720

Phone

(859) 576-2050

NPI assigned

Jul 5, 2006

Last updated

Jun 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1942231477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 STRAWBERRY LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022720",
            "telephone_number": "859-576-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 STRAWBERRY LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022720",
            "telephone_number": "859-576-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "CHARLES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "16295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64162951",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Simpson Nicholas, M.S.
• Nicholasville Road MRI, LLC
• Paul J Nicholls, MD
• Alexandria Nichols, RBT
• Aliah Fueller Nichols, DMD
• Faith Nichols, CSW
• Greta Nichols, LCSW
• Kimberly Jo Nichols, DMD
• Sydney Taylor Nichols, PA
• David P Nicholson, APRN

• General Practice Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.