NICOLE TREADWAY MD
NPI 1306305685
Internal Medicine in Decatur, GA

Q: What is Nicole Treadway's NPI number?

The NPI number for Nicole Treadway is 1306305685. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Nicole Treadway's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Treadway was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment

3527 MEMORIAL DR UNIT W, DECATUR, GA 30032(404) 573-4844(415) 252-7176 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2022, Mar 18, 2019 (2 updates tracked since 2019).

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About Nicole Treadway Md NPPES

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

NICOLE TREADWAY MD (NPI 1306305685) is an individual internal medicine provider in Decatur, Georgia, licensed in Georgia (92237) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Emory University School Of Medicine (2019).

NPPES Registry Identity

NPI1306305685

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameNICOLE TREADWAYCredential: MD

Location Address3527 MEMORIAL DR UNIT WDecatur, GA 30032-2731

Mailing Address1 Embarcadero Ctr Fl 19San Francisco, CA 94111-3628

Phone(404) 573-4844

Fax(415) 252-7176

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2019

Enumeration DateMarch 18, 2019

Last NPPES UpdateApril 18, 20252 updates tracked since enumeration

NPPES CertifiedApril 18, 2025

✔ NPI 1306305685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 92237

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3527 MEMORIAL DR UNIT W, Decatur, GA 30032

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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 and accepts Medicare assignment

Nicole Treadway Md 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 ID1153658109

PECOS Enrollment IDI20220903000130

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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

116 services54 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110079

Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30032 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

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 11

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

TIFFANY JOHNSON

Nurse Practitioner (Family)