MR. COLBY LAKE NICHOLSON FNP-C
NPI 1558953737
Nurse Practitioner - Family in Lagrange, GA
About Mr. Colby Lake Nicholson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. COLBY LAKE NICHOLSON FNP-C (NPI 1558953737) is an individual family provider in Lagrange, Georgia, licensed in Georgia (RN259729) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mr. Colby Lake Nicholson Fnp-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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Colby Nicholson's NPI number?
The NPI number for Colby Nicholson is 1558953737. It was assigned to this individual provider in the NPPES registry on February 9, 2021.
Where is Colby Nicholson located?
Colby Nicholson practices at 309 Vernon St, Lagrange, GA 30240. The listed phone number is (706) 885-9110.
What is Colby Nicholson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Colby Nicholson enrolled in Medicare?
Yes. Colby 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.
What insurance does Colby Nicholson accept?
Health plans from Alliant Health Plans, Inc. list Colby 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.
When was this NPI record last updated?
The NPPES record for Colby Nicholson was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Colby Lake Nicholson, FNP-C · NPI 1558953737
Family physician in Lagrange, Georgia. Individual provider, active in the CMS NPPES registry since February 9, 2021.
## Identity
- **NPI:** 1558953737 (Entity type: Individual)
- **Enumerated:** February 9, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN259729 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 309 VERNON ST, Lagrange, GA 30240-3162
- **Phone:** (706) 885-9110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1558953737) · Data from the CMS NPPES public registry.