NICOLE FORD NP-C
NPI 1588642771
Nurse Practitioner - Family in Colbert, GA

Q: What is Nicole Ford's NPI number?

The NPI number for Nicole Ford is 1588642771. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Q: What is Nicole Ford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Ford was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 January 06, 2006PECOS Enrolled

11 CHARLIE MORRIS RD, COLBERT, GA 30628(706) 788-2127(706) 788-2815 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Nicole Ford Np-c NPPES

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

NICOLE FORD NP-C (NPI 1588642771) is an individual family provider in Colbert, Georgia, licensed in Georgia (RN139406) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588642771

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE FORDCredential: NP-C

Location Address11 CHARLIE MORRIS RDColbert, GA 30628-2445

Mailing AddressPo Box 459Colbert, GA 30628-0459 · (706) 788-3234

Phone(706) 788-2127

Fax(706) 788-2815

Sole ProprietorNo

Enumeration DateJanuary 6, 2006

Last NPPES UpdateMarch 13, 2017

✔ NPI 1588642771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN139406

11 CHARLIE MORRIS RD, Colbert, GA 30628

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Other Identifiers 2

Medicare UPINQ23996GA

Medicaid717156962AGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Ford Np-c 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.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Ford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Athens Heart Center, PC

11 mi

Cardiovascular Disease

2005 PRINCE AVE
Athens, GA 30606

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

NPI 1447338744 (706) 208-9700

Palmer Family Medicine Inc

3,406 mi

Family Medicine

634 S BAILEY ST, SUITE 104
Palmer, AK 99645

Reassigned Medicare billing, Alaska enrollment
5 clinicians in this Medicare group

NPI 1356368054 (907) 746-2345

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 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.

38 services24 patients

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.

35 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30628 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.

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.

CAMERON DEAN WAGENBRENNER MD

Internal Medicine