Dr James Thomas Nichols Iii, MD is a
General Practice physician based in Mims, Florida. Dr James Thomas Nichols Iii is licensed to practice in Florida (license number ME122364) and his current practice location is 3635 Pennsylvania Ave, Mims, Florida. He can be reached at his office (for appointments etc.) via phone at
(321) 289-2204.
NPI number for Dr James Thomas Nichols Iii is 1649476110 and his current mailing address is 3635 Pennsylvania Ave, Mims, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649476110.
Physician's Profile
Full Name | Dr James Thomas Nichols Iii |
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Gender | Male |
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Speciality | General Practice |
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Location | 3635 Pennsylvania Ave, Mims, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649476110
- Provider Enumeration Date: 06/22/2007
- Last Update Date: 11/18/2015
Medical Identifiers
Medical identifiers for Dr James Thomas Nichols Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649476110 | NPI | - | NPPES |
1010693 | Medicaid | LA | |
P01045513 | Other | LA | RAILROAD MCARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | ME122364 (Florida) | Primary |
207P00000X | Emergency Medicine | ME122364 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James Thomas Nichols Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr James Thomas Nichols Iii, MD 3635 Pennsylvania Ave, Mims, FL 32754-5114 Ph: (321) 289-2204 | Dr James Thomas Nichols Iii, MD 3635 Pennsylvania Ave, Mims, FL 32754-5114 Ph: (321) 289-2204 |
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