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MR. JOSEPH J NICHOLS JR. M.D.
NPI 1053409094
Colon & Rectal Surgery in Atlanta, GA

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
35 COLLIER RD NW, SUITE 475, ATLANTA, GA 30309(404) 351-7900(404) 351-7901 Get Directions Write a Review

NPPES record last updated: October 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Joseph J Nichols Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOSEPH J NICHOLS JR. M.D. (NPI 1053409094) is an individual colon & rectal surgery provider in Atlanta, Georgia, licensed in Georgia (35712) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (1986).

NPPES Registry Identity

NPI1053409094
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameMR. JOSEPH J NICHOLS JR.Credential: M.D.
Location Address35 COLLIER RD NW, SUITE 475Atlanta, GA 30309
Mailing Address35 Collier Rd Nw, Suite 475Atlanta, GA 30309 · (404) 351-7900 · Fax (404) 351-7901
Phone(404) 351-7900
Fax(404) 351-7901
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1986
Enumeration DateOctober 11, 2006
Last NPPES UpdateOctober 16, 2008
✔ NPI 1053409094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in GA · 35712
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
35 COLLIER RD NW, Atlanta, GA 30309
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Other Names 1

Professional Name (2)Mr. Joseph J Nichols M.d

Other Identifiers 3

Medicare PIN28BBBBB
Medicare UPINF33264GA
Medicare PIN28BBBBBGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Joseph J Nichols Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597853077
PECOS Enrollment IDI20071116000308
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
63 services63 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services37 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
32 services32 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
25 services25 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
21 services19 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
15%130 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
58%69 patients3/55-star benchmark: 100%
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%22 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
48%131 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
58%154 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
1%143 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
49%43 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIANNA E. JOHNSON D.O.
Hospitalist
35 COLLIER RD NW, SUITE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014
ADANNA CHIJIOKE
Physician Assistant
35 COLLIER RD NW, SUITE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014
CHAYCIE L GOGGINS PHARMD
Pharmacist
35 COLLIER RD NW
ATLANTA, GA 30309
Fulton County (404) 350-9772
CHRISTOPHER A DALINKUS D.O.
Hospitalist
35 COLLIER RD NW, SUITE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014
CANDICE MARIE DELK D.O.
Hospitalist
35 COLLIER RD NW, SUITE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014
MARIE-VERONIQUE INGULU BIELO M.D.
Hospitalist
35 COLLIER RD NW, SUITE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014
ROBERT V. DIMEGLIO, MD, LLC
Urology
35 COLLIER RD NW, M-245
ATLANTA, GA 30309
Fulton County (678) 205-8211
KODJO AYERTEY MD
Hospitalist
35 COLLIER RD NW, STE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Nichols's NPI number?

The NPI number for Joseph Nichols is 1053409094. It was assigned to this individual provider in the NPPES registry on October 11, 2006. The provider is also known as Mr. Joseph J Nichols M.D.

Where is Joseph Nichols located?

Joseph Nichols practices at 35 Collier Rd NW Suite 475, Atlanta, GA 30309. The listed phone number is (404) 351-7900.

What is Joseph Nichols's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Joseph Nichols enrolled in Medicare?

Yes. Joseph Nichols is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joseph Nichols accept?

Health plans from Alliant Health Plans, Inc. list Joseph Nichols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joseph Nichols affiliated with any hospitals?

According to CMS data, Joseph Nichols is affiliated with Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Nichols was last updated on October 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.