Active NPI
Kristina Gail Nichols, NP-C
- Family Nurse Practitioner
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 156613
- Practice address
- 3970 Deputy Bill Cantrell Memorial Rd Ste 100
Cumming, GA 30040-8216 - Phone
- (678) 513-2273
- NPI assigned
- May 2, 2012
- Last updated
- Jul 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 156613 | GA | Primary |
| Registered Nurse | 163W00000X | RN156613 | GA |
Addresses
Primary practice location
3970 Deputy Bill Cantrell Memorial Rd Ste 100
Cumming, GA 30040-8216
Mailing address
3970 Deputy Bill Cantrell Memorial Rd Ste 100
Cumming, GA 30040-8216
Phone (678) 513-2273
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11315 Johns Creek Pkwy
Suite 320
Duluth, GA 30097-2644
Phone (678) 513-2273
3970 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040-3011
Phone (678) 513-2273
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.65 of 100
- Quality
- 90.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN156613 | GA | MD | Registered Nurse |
| 156613 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart and Vascular Care, LLC | Current | Accepting new patients | |
| Heart and Vascular Care East, LLC | Current | Accepting new patients | |
| Heart and Vascular Care | Current | Accepting new patients | |
| Nmda Anesthesia LLC | Past | Accepting new patients | |
| Heart and Vascular Care East, LLC | Past | Accepting new patients |
Locations
3905 Brookside Pkwy
Ste 202
Alpharetta, GA 30022
Phone (770) 751-9131
4465 Nelson Brogdon Blvd
Ste 103
Buford, GA 30518
320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535
1505 Northside Blvd
Ste 4000
Cumming, GA 30041
Phone (404) 446-0600
3970 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040
Phone 6785132273292
3970 Dep Bill Cantrell Memorial Rd
Ste 100
Cumming, GA 30040
3970 Deputy Bill Cantrell Mem
Cumming, GA 30040
Phone (678) 208-6146
73 Prestige Ln
Ste 205
Dawsonville, GA 30534
433 Highland Pkwy
Ste 201
Ellijay, GA 30540
Phone (706) 253-5514
53 Gordon Rd
Ste 102
Jasper, GA 30143
3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633
Interoperability endpoints
- https://api.platform.athenahealth.com/1164/brand/1/csg/1/fhir/r4
- kristina.nichols.1@1164.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Cumming, GA
- NPI 1205651510
-
- Cardiovascular Disease Physician
- Cumming, GA
- NPI 1144371576
-
- Cardiac Rehabilitation Registered Nurse
- Cumming, GA
- NPI 1740960434
-
- Cardiac Rehabilitation Registered Nurse
- Cumming, GA
- NPI 1891502381
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1306123336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1942568589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3970 DEPUTY BILL CANTRELL MEMORIAL RD STE 100",
"city": "CUMMING",
"state": "GA",
"postal_code": "300408216",
"telephone_number": "678-513-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 DEPUTY BILL CANTRELL MEMORIAL RD STE 100",
"city": "CUMMING",
"state": "GA",
"postal_code": "300408216",
"telephone_number": "678-513-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "KRISTINA",
"middle_name": "GAIL",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "156613",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN156613",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.