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MS. NICOLE LEE KHOURY PA-C
NPI 1124144787
Physician Assistant - Medical in Atlanta, GA

Active since March 22, 2007PECOS Enrolled
960 JOHNSON FERRY ROAD, SUITE 200 ADVANCED ENT, PC, ATLANTA, GA 30342(404) 943-0900(404) 943-1390 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Nicole Lee Khoury Pa-c NPPES

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

MS. NICOLE LEE KHOURY PA-C (NPI 1124144787) is an individual medical provider in Atlanta, Georgia, licensed in Georgia (003041) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124144787
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. NICOLE LEE KHOURYCredential: PA-C
Location Address960 JOHNSON FERRY ROAD, SUITE 200 ADVANCED ENT, PCAtlanta, GA 30342
Mailing Address960 Johnson Ferry Road, Suite 200 Advanced Ent, PcAtlanta, GA 30342 · (404) 943-0900 · Fax (404) 943-1390
Phone(404) 943-0900
Fax(404) 943-1390
Sole ProprietorNo
Enumeration DateMarch 22, 2007
Last NPPES UpdateMay 26, 2011
✔ NPI 1124144787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 003041
960 JOHNSON FERRY ROAD, Atlanta, GA 30342
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINP51010GA
Other97WCCMFGA · Carrier Provider Number
Medicare ID-Type UnspecifiedGPR861GA · Group Provider Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nicole Lee Khoury Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$33.53 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers12 claims64 services$15.74 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers17 claims17 services$49.43 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers13 claims13 services$15.26 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers11 claims11 services$8.75 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers18 claims108 services$1.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Khoury's NPI number?

The NPI number for Nicole Khoury is 1124144787. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Nicole Khoury located?

Nicole Khoury practices at 960 Johnson Ferry Road Suite 200 Advanced Ent, PC, Atlanta, GA 30342. The listed phone number is (404) 943-0900.

What is Nicole Khoury's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Khoury enrolled in Medicare?

Yes. Nicole Khoury is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Khoury was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.