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NICOLE WARNER PA
NPI 1114544525
Physician Assistant in Atlanta, GA

Active since July 01, 2020PECOS EnrolledAccepts Medicare Assignment
1100 JOHNSON FY RD NE STE 180, ATLANTA, GA 30342(404) 250-6691 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2023, Mar 7, 2022, Jul 1, 2020 (3 updates tracked since 2020).

About Nicole Warner Pa NPPES

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

NICOLE WARNER PA (NPI 1114544525) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (9903) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114544525
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE WARNERCredential: PA
Location Address1100 JOHNSON FY RD NE STE 180Atlanta, GA 30342-1795
Mailing Address1100 Johnson Fy Rd Ne Ste 180Atlanta, GA 30342-1795 · (404) 250-6691
Phone(404) 250-6691
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 1, 2020
Last NPPES UpdateNovember 21, 20233 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1114544525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 9903
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1100 JOHNSON FY RD NE STE 180, Atlanta, GA 30342
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Other Names 1

Former Name (1)Nicole Boucher

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Nicole Warner Pa 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 ID1658781547
PECOS Enrollment IDI20201104001137
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.

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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.

Other Providers at the Same Location NPPES

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

DR. NATHANIEL WYNN LYTLE M.D.
Surgery
1100 JOHNSON FY RD NE STE 180
ATLANTA, GA 30342
Fulton County (404) 250-6691

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 Nicole Warner's NPI number?

The NPI number for Nicole Warner is 1114544525. It was assigned to this individual provider in the NPPES registry on July 1, 2020. The provider is also known as Nicole Boucher.

Where is Nicole Warner located?

Nicole Warner practices at 1100 Johnson Fy Rd NE Ste 180, Atlanta, GA 30342. The listed phone number is (404) 250-6691.

What is Nicole Warner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Warner enrolled in Medicare?

Yes. Nicole Warner 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 Nicole Warner accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Nicole Warner 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 Nicole Warner affiliated with any hospitals?

According to CMS data, Nicole Warner is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Warner was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.