ERIKA NIKOLE JAMES FNP
NPI 1689210320
Nurse Practitioner - Family in Athens, GA

Q: What is Erika James's NPI number?

The NPI number for Erika James is 1689210320. It was assigned to this individual provider in the NPPES registry on November 18, 2019.

Q: What is Erika James'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 Erika James was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 November 18, 2019PECOS EnrolledAccepts Medicare Assignment

870 GAINES SCHOOL RD, ATHENS, GA 30605(706) 548-7281(706) 389-9527 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Erika Nikole James Fnp NPPES

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

ERIKA NIKOLE JAMES FNP (NPI 1689210320) is an individual family provider in Athens, Georgia, licensed in Georgia (RN239323) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689210320

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameERIKA NIKOLE JAMESCredential: FNP

Location Address870 GAINES SCHOOL RDAthens, GA 30605-3132

Mailing AddressPo Box 147Athens, GA 30603-0147 · (762) 499-6960 · Fax (706) 850-9047

Phone(706) 548-7281

Fax(706) 389-9527

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 18, 2019

✔ NPI 1689210320 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 · RN239323

870 GAINES SCHOOL RD, Athens, GA 30605

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erika Nikole James Fnp 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 ID7911335849

PECOS Enrollment IDI20200306002221

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 Erika James reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Athens Model Neighborhood Health Center Inc

Same address

Federally Qualified Health Center (FQHC)

870 GAINES SCHOOL RD
Athens, GA 30605

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

NPI 1053962902 (762) 499-6960

Silverleaf Hospice, Inc

7.4 mi

Hospice and Palliative Medicine

1731 MERIWEATHER DR, SUITE 101
Watkinsville, GA 30677

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

NPI 1144770199 (706) 546-0286

Peachtree Hospice Of Georgia, LLC

59 mi

Hospice and Palliative Medicine

354 CORPORATE CENTER CT
Stockbridge, GA 30281

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

NPI 1255788436 (678) 583-2269

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

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.

Blood glucose (sugar) level 82947

A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.

17 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30605 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 2

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

ATHENS MODEL NEIGHBORHOOD HEALTH CENTER INC

Clinic/Center (Federally Qualified Health Center (FQHC))

870 GAINES SCHOOL RD
ATHENS, GA 30605

Clarke County (762) 499-6960

DR. MERISSA FERRAR NELMS DDS

Dentist (General Practice)

870 GAINES SCHOOL RD
ATHENS, GA 30605

Clarke County (706) 546-7473

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 Erika James's NPI number?

The NPI number for Erika James is 1689210320. It was assigned to this individual provider in the NPPES registry on November 18, 2019.

Where is Erika James located?

Erika James practices at 870 Gaines School Rd, Athens, GA 30605. The listed phone number is (706) 548-7281.

What is Erika James's specialty?

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

Is Erika James enrolled in Medicare?

Yes. Erika James 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.

Which organizations bill Medicare for Erika James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erika James reassigns Medicare benefits to 3 organizations: Athens Model Neighborhood Health Center Inc (Athens, GA), Silverleaf Hospice, Inc (Watkinsville, GA) and Peachtree Hospice Of Georgia, LLC (Stockbridge, GA). Each 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 Erika James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erika James accept?

Health plans from Alliant Health Plans, Inc. list Erika James 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 Erika James was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.