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MS. IRENE S. NICHOLAS
NPI 1104911841
Nurse Anesthetist, Certified Registered in Duluth, GA

Active since October 04, 2006
92.26/100
CMS Quality Rating
6325 W JOHNS XING, DULUTH, GA 30097(404) 778-8311(404) 495-1585 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Irene S. Nicholas NPPES

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

MS. IRENE S. NICHOLAS (NPI 1104911841) is an individual nurse anesthetist, certified registered in Duluth, Georgia, licensed in Georgia (RN096684) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1104911841
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. IRENE S. NICHOLAS
Location Address6325 W JOHNS XINGDuluth, GA 30097-5746
Mailing Address1540 Heritage TrlRoswell, GA 30075-4897 · (404) 433-4657 · Fax (770) 650-2713
Phone(404) 778-8311
Fax(404) 495-1585
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 18, 2015
✔ NPI 1104911841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in GA · RN096684
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
6325 W JOHNS XING, Duluth, GA 30097
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Other Identifiers 1

Medicare ID-Type Unspecified43ZCBVW43GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Irene S. Nicholas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Irene Nicholas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emory Specialty Associates, LLC
86 mi
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group
NPI 1407864168 (404) 778-4888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
15 services15 patients

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

MICHEL BLAIN MD
Emergency Medicine
6325 W JOHNS XING
DULUTH, GA 30097
Gwinnett County (678) 474-7000
CHRISTIN H. KO M.D.
Hospitalist
6325 W JOHNS XING, EMORY JOHNS CREEK HOSPITAL - HOSPITAL MEDICINE DEPT
DULUTH, GA 30097
Gwinnett County (404) 778-6382
MRS. LAURA A GULLICKSEN CRNA
Nurse Anesthetist, Certified Registered
6325 W JOHNS XING
JOHNS CREEK, GA 30097
Gwinnett County (404) 778-8311
DANIEL JOSEPH MD
Anesthesiology
6325 W JOHNS XING
JOHNS CREEK, GA 30097
Gwinnett County (404) 778-8311
JAMES M. SETTLE PA
Physician Assistant (Medical)
6325 W JOHNS XING
DULUTH, GA 30097
Gwinnett County (404) 778-5975
HENRY H. HEARD PA
Physician Assistant
6325 W JOHNS XING
DULUTH, GA 30097
Gwinnett County (404) 778-5975
APOLLO MEDICAL CARE, P.C.
Internal Medicine
6325 W JOHNS XING, BUILDING 1000, SUITE 301
DULUTH, GA 30097
Gwinnett County (770) 623-3056
USAMA KHALID M.D.
Emergency Medicine
6325 W JOHNS XING
DULUTH, GA 30097
Gwinnett County (404) 778-1739

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 Irene Nicholas's NPI number?

The NPI number for Irene Nicholas is 1104911841. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Irene Nicholas located?

Irene Nicholas practices at 6325 W Johns Xing, Duluth, GA 30097. The listed phone number is (404) 778-8311.

What is Irene Nicholas's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Irene Nicholas enrolled in Medicare?

Yes. Irene Nicholas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Irene Nicholas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irene Nicholas reassigns Medicare benefits to Emory Specialty Associates, LLC (Lagrange, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Irene Nicholas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Irene Nicholas accept?

Health plans from Oscar Health list Irene Nicholas 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.

When was this NPI record last updated?

The NPPES record for Irene Nicholas was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.