NICHOLE DOUGLASS RN
NPI 1336407212
Registered Nurse - Case Management in Smyrna, GA

Q: What is Nichole Douglass's NPI number?

The NPI number for Nichole Douglass is 1336407212. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Q: What is Nichole Douglass's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

Q: When was this NPI record last updated?

The NPPES record for Nichole Douglass was last updated on April 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 April 27, 2012

1955 LAKE PARK DR SE STE 300, SMYRNA, GA 30080(770) 319-4705(770) 514-2803 Get Directions Write a Review

NPPES record last updated: April 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nichole Douglass Rn NPPES

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

NICHOLE DOUGLASS RN (NPI 1336407212) is an individual case management provider in Smyrna, Georgia, licensed in Georgia (RN205945) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1336407212

Entity TypeIndividualFemale

Primary Taxonomy163WC0400X

Provider Legal NameNICHOLE DOUGLASSCredential: RN

Location Address1955 LAKE PARK DR SE STE 300Smyrna, GA 30080-8855

Mailing Address1955 Lake Park Dr Se Ste 300Smyrna, GA 30080-8855 · (770) 319-4705 · Fax (770) 514-2803

Phone(770) 319-4705

Fax(770) 514-2803

Sole ProprietorYes

Enumeration DateApril 27, 2012

✔ NPI 1336407212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers

Taxonomy Code163WC0400X

License✔ Licensed in GA · RN205945

1955 LAKE PARK DR SE STE 300, Smyrna, GA 30080

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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.

MRS. MARTHA MATHISON M.ED.

Case Manager/Care Coordinator

1955 LAKE PARK DR SE STE 300
SMYRNA, GA 30080

Cobb County (770) 514-2462

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 Nichole Douglass's NPI number?

The NPI number for Nichole Douglass is 1336407212. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Nichole Douglass located?

Nichole Douglass practices at 1955 Lake Park Dr SE Ste 300, Smyrna, GA 30080. The listed phone number is (770) 319-4705.

What is Nichole Douglass's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

When was this NPI record last updated?

The NPPES record for Nichole Douglass was last updated on April 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.