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NICHOLAS KOSTROMIN
NPI 1275474637
Student in an Organized Health Care Education/Training Program in Athens, GA

Active since April 01, 2026PECOS Enrolled
1500 OGLETHORPE AVE STE 200C, ATHENS, GA 30606(706) 389-3875(706) 389-3876 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Kostromin NPPES

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

NICHOLAS KOSTROMIN (NPI 1275474637) is an individual student in an organized health care education/training program in Athens, Georgia and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275474637
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS KOSTROMIN
Location Address1500 OGLETHORPE AVE STE 200CAthens, GA 30606-2165
Mailing Address1230 Baxter StAthens, GA 30606-3791 · (706) 389-3860 · Fax (706) 389-3861
Phone(706) 389-3875
Fax(706) 389-3876
Sole ProprietorNo
Enumeration DateApril 1, 2026
NPPES CertifiedApril 1, 2026
✔ NPI 1275474637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 OGLETHORPE AVE STE 200C, Athens, GA 30606
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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 (PECOS)

Nicholas Kostromin 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.

Other Providers at the Same Location NPPES 20

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

ERIC JULIAN FLORESTAN MD, MT
Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
MICHELLE A NUSS MD
Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
SANDRA WALL HAYES WHNP
Nurse Practitioner (Obstetrics & Gynecology)
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 549-1111
DR. NAGA PRIYATHAM REDDY-MALLU MD
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
SCARLETT E SCHNEIDER MD
Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
BRUCE F MIDDENDORF MD
Internal Medicine
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
CYRIL MINA
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875
HANNAH ELIZABETH LUFT DO
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE STE 200C
ATHENS, GA 30606
Clarke County (706) 389-3875

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 Nicholas Kostromin's NPI number?

The NPI number for Nicholas Kostromin is 1275474637. It was assigned to this individual provider in the NPPES registry on April 1, 2026.

Where is Nicholas Kostromin located?

Nicholas Kostromin practices at 1500 Oglethorpe Ave Ste 200C, Athens, GA 30606. The listed phone number is (706) 389-3875.

What is Nicholas Kostromin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicholas Kostromin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicholas Kostromin was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.