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JULIE TIERNEY NICHOLSON M.D.
NPI 1386055705
Family Medicine in Woodstock, GA

Active since May 20, 2014PECOS EnrolledAccepts Medicare Assignment
203 WOODPARK PL STE 100, WOODSTOCK, GA 30188(770) 926-4150(770) 926-0594 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2024, May 10, 2022, Apr 29, 2022 and 3 more (6 updates tracked since 2017).

About Julie Tierney Nicholson M.d. NPPES

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

JULIE TIERNEY NICHOLSON M.D. (NPI 1386055705) is an individual family medicine provider in Woodstock, Georgia, licensed in Georgia (98300) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1386055705
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJULIE TIERNEY NICHOLSONCredential: M.D.
Location Address203 WOODPARK PL STE 100Woodstock, GA 30188-3705
Mailing Address203 Woodpark Pl Ste 100Woodstock, GA 30188-3705 · (770) 926-4150 · Fax (770) 926-0594
Phone(770) 926-4150
Fax(770) 926-0594
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2014
Enumeration DateMay 20, 2014
Last NPPES UpdateMay 17, 20246 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1386055705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 98300✔ Licensed in SC · 87263
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
203 WOODPARK PL STE 100, Woodstock, GA 30188
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Other Names 1

Former Name (1)Julie Rivero

Secondary Practice Location 1

Location 12097 Henry Tecklenburg Dr Ste 220WCharleston, SC 29414-5740 · Phone (843) 571-6868

Other Identifiers 1

Medicaid872639SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Julie Tierney Nicholson M.d. 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 ID3779807664
PECOS Enrollment IDI20240205002656
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.

Medicare Billing Reassignment

Medicare enrollment records show Julie Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC
Same address
Family Medicine
203 WOODPARK PL, BUILDING C; SUITE 100
Woodstock, GA 30188
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1760893457 (770) 926-4150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services23 patients
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.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30188 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

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 Julie Nicholson's NPI number?

The NPI number for Julie Nicholson is 1386055705. It was assigned to this individual provider in the NPPES registry on May 20, 2014. The provider is also known as Julie Rivero.

Where is Julie Nicholson located?

Julie Nicholson practices at 203 Woodpark Pl Ste 100, Woodstock, GA 30188. The listed phone number is (770) 926-4150.

What is Julie Nicholson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Julie Nicholson enrolled in Medicare?

Yes. Julie Nicholson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Julie Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Nicholson reassigns Medicare benefits to Wellstar Medical Group, LLC (Woodstock, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julie Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julie Nicholson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Julie Nicholson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Julie Nicholson affiliated with any hospitals?

According to CMS data, Julie Nicholson is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Julie Nicholson was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.