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ELIZABETH NICHOLS PA
NPI 1417376930
Physician Assistant in Chattanooga, TN

Active since April 11, 2014PECOS Enrolled
1334 MACKEY BRANCH DR, SUITE 103, CHATTANOOGA, TN 37421(423) 296-2604(423) 296-2607 Get Directions Write a Review

NPPES record last updated: August 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Nichols Pa NPPES

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

ELIZABETH NICHOLS PA (NPI 1417376930) is an individual physician assistant in Chattanooga, Tennessee and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417376930
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELIZABETH NICHOLSCredential: PA
Location Address1334 MACKEY BRANCH DR, SUITE 103Chattanooga, TN 37421-3471
Mailing Address1334 Mackey Branch Dr, Suite 103Chattanooga, TN 37421-3471 · (423) 296-2604 · Fax (423) 296-2607
Phone(423) 296-2604
Fax(423) 296-2607
Sole ProprietorNo
Enumeration DateApril 11, 2014
Last NPPES UpdateAugust 25, 2015
✔ NPI 1417376930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1334 MACKEY BRANCH DR, Chattanooga, TN 37421
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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)

Elizabeth Nichols Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37421 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 5

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

THE DALTON CLINIC OF CHIROPRACTIC INC.
Chiropractor
1334 MACKEY BRANCH DR, SUITE 103
CHATTANOOGA, TN 37421
Hamilton County (423) 296-2604
MRS. ANGELA D. SMITH CFOM, CFTS
Specialist
1334 MACKEY BRANCH DR, SUITE 104
CHATTANOOGA, TN 37421
Hamilton County (423) 296-2604
SOUTHEAST TENNESSEE SPINE AND NERVE INSTITUTE PLLC
Physical Medicine & Rehabilitation
1334 MACKEY BRANCH DR, SUITE 104
CHATTANOOGA, TN 37421
Hamilton County (423) 296-2604
CHATTANOOGA CHIROPRACTIC CENTERS, INC.
Chiropractor
1334 MACKEY BRANCH DR, SUITE 104
CHATTANOOGA, TN 37421
Hamilton County (423) 296-2604
MR. JOHN CHARLES BLAKELY WALL D.C.
Chiropractor
1334 MACKEY BRANCH DR, SUITE 104
CHATTANOOGA, TN 37421
Hamilton County (423) 296-2604

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 Elizabeth Nichols's NPI number?

The NPI number for Elizabeth Nichols is 1417376930. It was assigned to this individual provider in the NPPES registry on April 11, 2014.

Where is Elizabeth Nichols located?

Elizabeth Nichols practices at 1334 Mackey Branch Dr Suite 103, Chattanooga, TN 37421. The listed phone number is (423) 296-2604.

What is Elizabeth Nichols's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elizabeth Nichols enrolled in Medicare?

Yes. Elizabeth Nichols is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Nichols was last updated on August 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.