NICOLE W NIMMO LPC
NPI 1548066095
Counselor - Mental Health in Adel, GA

Active since February 24, 2025PECOS EnrolledAccepts Medicare Assignment
203 INDUSTRIAL PARK DR, ADEL, GA 31620(229) 896-4559 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2026, Feb 27, 2025 (2 updates tracked since 2025).

About Nicole W Nimmo Lpc NPPES

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

NICOLE W NIMMO LPC (NPI 1548066095) is an individual mental health provider in Adel, Georgia, licensed in Georgia (LPC015426) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Valdosta, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1548066095
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE W NIMMOCredential: LPC
Location Address203 INDUSTRIAL PARK DRAdel, GA 31620-3446
Mailing Address2310 N Patterson St Bldg HValdosta, GA 31602-2500 · (229) 333-0300 · Fax (229) 333-0306
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 24, 2025
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
NPI 1548066095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in GA · LPC015426
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC015426 (GA)
203 INDUSTRIAL PARK DR, Adel, GA 31620

Other Names 1

Former Name (1)Nicole M Watson

Secondary Practice Location 1

Location 12310 N Patterson St Bldg HValdosta, GA 31602-2500 · Phone (229) 333-0300 · Fax (229) 333-0306

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole W Nimmo Lpc 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 ID6002337177
PECOS Enrollment IDI20250305001793
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

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

Community/Behavioral Health
203 INDUSTRIAL PARK DR
ADEL, GA 31620

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 Nicole Nimmo's NPI number?

The NPI number for Nicole Nimmo is 1548066095. It was assigned to this individual provider in the NPPES registry on February 24, 2025. The provider is also known as Nicole M Watson.

Where is Nicole Nimmo located?

Nicole Nimmo practices at 203 Industrial Park Dr, Adel, GA 31620. The listed phone number is (229) 896-4559.

What is Nicole Nimmo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Nimmo enrolled in Medicare?

Yes. Nicole Nimmo 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.

When was this NPI record last updated?

The NPPES record for Nicole Nimmo was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.