Individual provider Active NPI

Kristina Gail Nichols, NP-C

  • Family Nurse Practitioner
  • Cumming, GA
National Provider Identifier
1942568589
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
156613 Issued in GA
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141117001214 GA Practitioner - Nurse Practitioner 9638391170 Reassigns benefits to 2 organizations

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
Heart and Vascular Care, LLCGroup PAC ID 0941303622, 45 clinicians
Heart and Vascular Care East LLCGroup PAC ID 2163951997, 20 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
RN156613GAMDRegistered Nurse
156613GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Care, LLC CurrentSince Sep 2, 2014 Accepting new patients
Heart and Vascular Care East, LLC CurrentSince Mar 14, 2025 Accepting new patients
Heart and Vascular Care CurrentSince Sep 2, 2014 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

  • FHIR API: https://api.platform.athenahealth.com/1164/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.