TRACY NICHOLS
NPI 1255724704
Counselor - Pastoral in Douglasville, GA

Q: What is Tracy Nichols's NPI number?

The NPI number for Tracy Nichols is 1255724704. It was assigned to this individual provider in the NPPES registry on March 9, 2015.

Q: What is Tracy Nichols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Nichols was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 09, 2015

5300 BRICKLEBERRY WAY, SUITE 103, DOUGLASVILLE, GA 30134(678) 886-0999 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tracy Nichols NPPES

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

TRACY NICHOLS (NPI 1255724704) is an individual pastoral provider in Douglasville, Georgia, licensed in Georgia (11102014) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1255724704

Entity TypeIndividualMale

Primary Taxonomy101YP1600X

Provider Legal NameTRACY NICHOLS

Location Address5300 BRICKLEBERRY WAY, SUITE 103Douglasville, GA 30134-4066

Mailing Address5300 Brickleberry Way, Suite 103Douglasville, GA 30134-4066 · (678) 886-0999

Phone(678) 886-0999

Sole ProprietorYes

Enumeration DateMarch 9, 2015

Last NPPES UpdateJuly 15, 2020

NPPES CertifiedJuly 15, 2020

✔ NPI 1255724704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers

Taxonomy Code101YP1600X

License✔ Licensed in GA · 11102014

5300 BRICKLEBERRY WAY, Douglasville, GA 30134

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Other Providers at the Same Location NPPES

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

INTOUCH MEDICAL SUPPLIES LLC

Durable Medical Equipment & Medical Supplies

5300 BRICKLEBERRY WAY, SUITE 205
DOUGLASVILLE, GA 30134

Douglas County (678) 993-5058

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 Tracy Nichols's NPI number?

The NPI number for Tracy Nichols is 1255724704. It was assigned to this individual provider in the NPPES registry on March 9, 2015.

Where is Tracy Nichols located?

Tracy Nichols practices at 5300 Brickleberry Way Suite 103, Douglasville, GA 30134. The listed phone number is (678) 886-0999.

What is Tracy Nichols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Tracy Nichols was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.