Marcey Nicholas, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-127093 Issued in AL

Practice address

105 S Woodburn Dr Ste 2
Dothan, AL 36305-1109

Phone

(334) 649-3458

Fax

(949) 703-7298

NPI assigned

Jan 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Round Two Medical Solutions LLCGroup PAC ID 3870032725, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Round Two Medical Solutions LLC

  • Family Medicine Physician
  • Dothan, AL
  • NPI 1881437762
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1972209153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S WOODBURN DR STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051109",
            "telephone_number": "334-649-3458",
            "fax_number": "949-703-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S WOODBURN DR STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051109",
            "telephone_number": "334-649-3458",
            "fax_number": "949-703-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "MARCEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-127093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Mills Newman, PHARMD
• D'Angeleau Newsome, DO
• Daniel Anthony Newton Jr., R.PH.
• DO Tu Nguyen, M.D.
• Quoc Nguyen
• Christopher E Nicholls, MD
• Eugene W Nicholls, O.D.
• Melanie P. Nicholls, MD
• Kimberly K Nichols, CRNP PHD
• Randall Wayne Nichols, M.D.

• Family Nurse Practitioner in Dothan, AL
• Providers in Dothan, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.