MR. JUSTIN DOYLE NICHOLSON NP-C
NPI 1457806184
Nurse Practitioner in Blue Ridge, GA

Q: What is Justin Nicholson's NPI number?

The NPI number for Justin Nicholson is 1457806184. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Q: What is Justin Nicholson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Nicholson was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 August 23, 2016PECOS EnrolledAccepts Medicare Assignment

101 RIVERSTONE VIS STE 102, BLUE RIDGE, GA 30513(706) 258-4140(706) 258-4141 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 19, 2020, May 11, 2020, Mar 9, 2018 and 2 more (5 updates tracked since 2016).

On this page

About Mr. Justin Doyle Nicholson Np-c NPPES

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

MR. JUSTIN DOYLE NICHOLSON NP-C (NPI 1457806184) is an individual nurse practitioner in Blue Ridge, Georgia, licensed in Georgia (RN209728) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457806184

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. JUSTIN DOYLE NICHOLSONCredential: NP-C

Location Address101 RIVERSTONE VIS STE 102Blue Ridge, GA 30513-6630

Mailing Address1835 Savoy Dr Ste 300Atlanta, GA 30341-1071 · (706) 258-4140 · Fax (706) 258-4141

Phone(706) 258-4140

Fax(706) 258-4141

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 23, 2016

Last NPPES UpdateAugust 19, 20205 updates tracked since enumeration

NPPES CertifiedAugust 19, 2020

✔ NPI 1457806184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN209728

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN209728 (GA)

101 RIVERSTONE VIS STE 102, Blue Ridge, GA 30513

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Other Identifiers 3

Medicaid003202905BGA

OtherG00351AGA · Medicare Ptan

Medicaid003202905AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Mr. Justin Doyle Nicholson Np-c 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 ID4486932514

PECOS Enrollment IDI20161025001222

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 Reassignments

Medicare enrollment records show Justin Nicholson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tapestry Hospice Of Northwest Georgia LLC

43 mi

Hospice Care, Community Based

189 PROFESSIONAL CT SE STE 300
Calhoun, GA 30701

Reassigned Medicare billing, Georgia enrollment
9 clinicians in this Medicare group

NPI 1952686768 (706) 383-8812

Nsh Cancer Institute Professional Services G, LLC

61 mi

Hematology & Oncology

1100 JOHNSON FERRY RD NE, SUITE 600
Sandy Springs, GA 30342

Reassigned Medicare billing, Georgia enrollment
163 clinicians in this Medicare group

NPI 1144571381 (404) 256-4777

Privia Medical Group Of Georgia LLC

93 mi

Internal Medicine

101 YORKTOWN DR
Fayetteville, GA 30214

Reassigned Medicare billing, Georgia enrollment
759 clinicians in this Medicare group

NPI 1013313857 (770) 460-4285

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.

731 services418 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.

223 services171 patients

Hospital Affiliations CMS Care Compare 4

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110008

Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County

Emergency services Birthing friendly

Union General Hospital

Acute Care Hospitals · Blairsville, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110051

Location35 Hospital RoadBlairsville, GA 30512 · Union County

Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Erlanger Murphy Medical Center

Critical Access Hospitals · Murphy, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number341328

Location3990 East Us Highway 64 AltMurphy, NC 28906 · Cherokee County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30513 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

89%97 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

52%118 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%137 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

100%131 patients5/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

35%55 patients2/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

SARAH JEANNE WOOD

Internal Medicine (Hematology & Oncology)