NICHOLAS MASSA
NPI 1457188690
Student in an Organized Health Care Education/Training Program in Suwanee, GA

Active since September 19, 2024PECOS Enrolled
625 OLD PEACHTREE RD NW, SUWANEE, GA 30024(678) 225-7500 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Massa NPPES

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

NICHOLAS MASSA (NPI 1457188690) is an individual student in an organized health care education/training program in Suwanee, Georgia and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457188690
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS MASSA
Location Address625 OLD PEACHTREE RD NWSuwanee, GA 30024-2937
Mailing Address625 Old Peachtree Rd NwSuwanee, GA 30024-2937 · (678) 225-7500
Sole ProprietorNo
Enumeration DateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
NPI 1457188690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
625 OLD PEACHTREE RD NW, Suwanee, GA 30024

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 Massa 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.

Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Physician Assistant
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Neuromusculoskeletal Medicine & OMM
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Physician Assistant
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024

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 Massa's NPI number?

The NPI number for Nicholas Massa is 1457188690. It was assigned to this individual provider in the NPPES registry on September 19, 2024.

Where is Nicholas Massa located?

Nicholas Massa practices at 625 Old Peachtree Rd NW, Suwanee, GA 30024. The listed phone number is (678) 225-7500.

What is Nicholas Massa'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 Massa enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicholas Massa was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.