Mr Justin Doyle Nicholson, NP-C in Blue Ridge, GA

Mr Justin Doyle Nicholson, NP-C is a medicare enrolled "Nurse Practitioner" in Blue Ridge, Georgia. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Nsh Cancer Institute Professional Services G Llc and his current practice location is 101 Riverstone Vis Ste 102, Blue Ridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 258-4140.

Mr Justin Doyle Nicholson is licensed to practice in Georgia (license number RN209728) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457806184.

Contact Information

	Mr Justin Doyle Nicholson, NP-C
	101 Riverstone Vis Ste 102, Blue Ridge, GA 30513-6630
	(706) 258-4140
	(706) 258-4141

Map and Direction

Provider's Profile

Full Name	Mr Justin Doyle Nicholson
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	101 Riverstone Vis Ste 102, Blue Ridge, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Justin Doyle Nicholson graduated from nursing school in 2016

NPI Data:

NPI Number: 1457806184
Provider Enumeration Date: 08/23/2016
Last Update Date: 08/19/2020

Medicare PECOS Information:

PECOS PAC ID: 4486932514
Enrollment ID: I20161025001222

Medical Identifiers

Medical identifiers for Mr Justin Doyle Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457806184	NPI	-	NPPES
G00351A	Other	GA	MEDICARE PTAN
003202905B	Medicaid	GA
003202905A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN209728 (Georgia)	Secondary
363L00000X	Nurse Practitioner	RN209728 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nsh Cancer Institute Professional Services G Llc	0840443164	106

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Justin Doyle Nicholson allows following entities to bill medicare on his behalf.

Entity Name	Nsh Cancer Institute Professional Services G Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144571381 PECOS PAC ID: 0840443164 Enrollment ID: O20130128000225

Entity Name	Privia Medical Group Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983

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. Mr Justin Doyle Nicholson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Justin Doyle Nicholson, NP-C 1835 Savoy Dr Ste 300, Atlanta, GA 30341-1071 Ph: (706) 258-4140	Mr Justin Doyle Nicholson, NP-C 101 Riverstone Vis Ste 102, Blue Ridge, GA 30513-6630 Ph: (706) 258-4140

Reviews and Comments

Nurse Practitioner Nurses in Blue Ridge, GA

Ms. Rachel Lauren Van Horn, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Riverstone Vis Ste 102, Blue Ridge, GA 30513 Phone: 706-258-4140 Fax: 706-258-4141
Deborah Collins Pietrangelo, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Riverstone Vis Ste 215, Blue Ridge, GA 30513 Phone: 706-946-4227 Fax: 706-258-4715
Patricia Murray, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 787 E Main St, Blue Ridge, GA 30513 Phone: 706-632-4411 Fax: 706-632-4644
Mrs. Jessica Elizabeth Hill, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Riverstone Vis Ste 102, Blue Ridge, GA 30513 Phone: 706-258-4140 Fax: 706-258-4141
Mrs. Camille York Ledford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Riverstone Vis Ste 111, Blue Ridge, GA 30513 Phone: 706-946-4200 Fax: 706-492-3206
Ms. Megan Cole Roper, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Riverstone Vis Ste 206, Blue Ridge, GA 30513 Phone: 706-632-4400 Fax: 706-632-4404
Megan Cheatham, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2855 Old Highway 5, Blue Ridge, GA 30513 Phone: 706-258-4640 Fax: 706-258-7216

Mr Justin Doyle Nicholson, NP-C - Medicare Nurse Practitioner in Blue Ridge, GA