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DR. JAMES THOMAS NICHOLS III MD
NPI 1649476110
General Practice in Mims, FL

Active since June 22, 2007
3635 PENNSYLVANIA AVE, MIMS, FL 32754(321) 289-2204(405) 844-1794 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Thomas Nichols Iii Md NPPES

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

DR. JAMES THOMAS NICHOLS III MD (NPI 1649476110) is an individual general practice provider in Mims, Florida, licensed in Florida (ME122364) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1649476110
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JAMES THOMAS NICHOLS IIICredential: MD
Location Address3635 PENNSYLVANIA AVEMims, FL 32754-5114
Mailing Address3635 Pennsylvania AveMims, FL 32754-5114 · (321) 289-2204 · Fax (405) 844-1794
Phone(321) 289-2204
Fax(405) 844-1794
Sole ProprietorNo
Enumeration DateJune 22, 2007
Last NPPES UpdateNovember 18, 2015
✔ NPI 1649476110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME122364
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License ME122364 (FL)
3635 PENNSYLVANIA AVE, Mims, FL 32754
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Other Identifiers 3

Medicare PIN4Q772DT25LA
OtherP01045513LA · Railroad Mcare
Medicaid1010693LA

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 James Nichols's NPI number?

The NPI number for James Nichols is 1649476110. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Where is James Nichols located?

James Nichols practices at 3635 Pennsylvania Ave, Mims, FL 32754. The listed phone number is (321) 289-2204.

What is James Nichols's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for James Nichols was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.