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DR. ROBERT SHEPPARD NICKEL MD
NPI 1053571810
Pediatrics - Pediatric Hematology-Oncology in Atlanta, GA

Active since June 14, 2008PECOS EnrolledAccepts Medicare Assignment
1405 CLIFTON RD, ATLANTA, GA 30322(404) 785-1200 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Sheppard Nickel Md NPPES

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

DR. ROBERT SHEPPARD NICKEL MD (NPI 1053571810) is an individual pediatric hematology-oncology provider in Atlanta, Georgia, licensed in Georgia (66230) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2008).

NPPES Registry Identity

NPI1053571810
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. ROBERT SHEPPARD NICKELCredential: MD
Location Address1405 CLIFTON RDAtlanta, GA 30322
Mailing Address2015 Uppergate DrAtlanta, GA 30322-0001
Phone(404) 785-1200
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2008
Enumeration DateJune 14, 2008
Last NPPES UpdateJune 12, 2014
✔ NPI 1053571810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in GA · 66230
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1405 CLIFTON RD, Atlanta, GA 30322
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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

Dr. Robert Sheppard Nickel Md 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 ID2769784677
PECOS Enrollment IDI20160111000123
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.

Other Providers at the Same Location NPPES 5

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

DR. MOHAMED YOUSIF ELKHALIFA MD
Pathology (Clinical Pathology)
1405 CLIFTON RD, 1ST FLOOR PATHOLOGY
ATLANTA, GA 30322
Dekalb County (404) 785-6499
DEREK A FYFE M.D.
Pediatrics (Pediatric Cardiology)
1405 CLIFTON RD
ATLANTA, GA 30322
Dekalb County (404) 256-2593
AMY BARRY CPNP
Nurse Practitioner (Pediatrics)
1405 CLIFTON RD, 3RD FLOOR BMT OFFICE
ATLANTA, GA 30322
Dekalb County (404) 785-3544
KEVIN HARRIS MD
Student in an Organized Health Care Education/Training Program
1405 CLIFTON RD, CARDIOLOGY, CHOA,
ATLANTA, GA 30322
Dekalb County (678) 215-6438
MRS. JENNIFER OTTENWELLER CHILES
Physician Assistant (Medical)
1405 CLIFTON RD
ATLANTA, GA 30322
Dekalb County (404) 785-6330

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 Robert Nickel's NPI number?

The NPI number for Robert Nickel is 1053571810. It was assigned to this individual provider in the NPPES registry on June 14, 2008.

Where is Robert Nickel located?

Robert Nickel practices at 1405 Clifton Rd, Atlanta, GA 30322. The listed phone number is (404) 785-1200.

What is Robert Nickel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Robert Nickel enrolled in Medicare?

Yes. Robert Nickel 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.

When was this NPI record last updated?

The NPPES record for Robert Nickel was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.