JACQUELINE ECKERT NICHOLS PA-C
NPI 1689971079
Physician Assistant - Surgical in Atlanta, GA

Q: What is Jacqueline Nichols's NPI number?

The NPI number for Jacqueline Nichols is 1689971079. It was assigned to this individual provider in the NPPES registry on February 21, 2011. The provider is also known as Jacquline Lee Eckert Pa-C.

Q: What is Jacqueline Nichols's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since February 21, 2011PECOS Enrolled

5673 PEACHTREE DUNWOODY RD STE 870, ATLANTA, GA 30342(404) 255-2975(404) 255-2276 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacqueline Eckert Nichols Pa-c NPPES

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

JACQUELINE ECKERT NICHOLS PA-C (NPI 1689971079) is an individual surgical provider in Atlanta, Georgia, licensed in Georgia (8003) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689971079

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJACQUELINE ECKERT NICHOLSCredential: PA-C

Location Address5673 PEACHTREE DUNWOODY RD STE 870Atlanta, GA 30342-5029

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200

Phone(404) 255-2975

Fax(404) 255-2276

Sole ProprietorNo

Enumeration DateFebruary 21, 2011

Last NPPES UpdateDecember 16, 2019

✔ NPI 1689971079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in GA · 8003

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

5673 PEACHTREE DUNWOODY RD STE 870, Atlanta, GA 30342

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Other Names 1

Former Name (1)Jacquline Lee Eckert Pa-c

Other Identifiers 1

Other57-0634057SC · Practice Tin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Eckert Nichols Pa-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.

Other Providers at the Same Location NPPES 6

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

LAURA COLLIER BEACHAM

Physician Assistant