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DR. JOE DANIEL NICHOLS JR. MD
NPI 1619080561
Family Medicine in Atlanta, TX

Active since August 16, 2006PECOS Enrolled
1011 SOUTH WILLIAM, ATLANTA, TX 75551(903) 796-2868(903) 796-0826 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2023, Jul 7, 2022, May 12, 2020 (3 updates tracked since 2020).

About Dr. Joe Daniel Nichols Jr. Md NPPES

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

DR. JOE DANIEL NICHOLS JR. MD (NPI 1619080561) is an individual family medicine provider in Atlanta, Texas, licensed in Texas (D3947) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619080561
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOE DANIEL NICHOLS JR.Credential: MD
Location Address1011 SOUTH WILLIAMAtlanta, TX 75551-3245
Mailing Address1011 South WilliamAtlanta, TX 75551-3245 · (903) 796-2868 · Fax (903) 796-0826
Phone(903) 796-2868
Fax(903) 796-0826
Sole ProprietorNo
Enumeration DateAugust 16, 2006
Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1619080561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · D3947
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1011 SOUTH WILLIAM, Atlanta, TX 75551
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Other Identifiers 6

Medicaid123277903TX
Other118076Chips
Other080022253Medicare Rr
Other97276AR · Bcbs
Other806052TX · Bcbs
OtherA004Champus

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joe Daniel Nichols Jr. Md 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 Reassignment

Medicare enrollment records show Joe Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Texas Border Health Clinic
Same address
Family Medicine
1011 S WILLIAM ST
Atlanta, TX 75551
  • Reassigned Medicare billing, Texas enrollment
  • 51 clinicians in this Medicare group
NPI 1194332155 (903) 796-2868

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75551 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers17 claims37 services$5.26 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers16 claims16 services$43.35 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers17 claims82 services$25.30 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers20 claims20 services$60.77 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers17 claims17 services$18.91 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers21 claims126 services$2.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. EDWARD TIMOTHY OKELLEY MD
Family Medicine
1011 SOUTH WILLIAM
ATLANTA, TX 75551
Cass County (903) 796-2868
DR. LLOYD MASON FRUGE MD
Family Medicine
1011 SOUTH WILLIAM
ATLANTA, TX 75551
Cass County (903) 796-2868

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 Joe Nichols's NPI number?

The NPI number for Joe Nichols is 1619080561. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Joe Nichols located?

Joe Nichols practices at 1011 South William, Atlanta, TX 75551. The listed phone number is (903) 796-2868.

What is Joe Nichols's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joe Nichols enrolled in Medicare?

Yes. Joe Nichols is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joe Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joe Nichols reassigns Medicare benefits to East Texas Border Health Clinic (Atlanta, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joe Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joe Nichols was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.