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NICHOLAS KRISHNAN
NPI 1699169474
Physician Assistant in Decatur, AL

Active since March 19, 2015
1103 16TH AVE SE, DECATUR, AL 35601(256) 350-0362(256) 355-9779 Get Directions Write a Review

NPPES record last updated: May 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Krishnan NPPES

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

NICHOLAS KRISHNAN (NPI 1699169474) is an individual physician assistant in Decatur, Alabama, licensed in Alabama (PA-1045) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1699169474
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS KRISHNAN
Location Address1103 16TH AVE SEDecatur, AL 35601-3595
Mailing Address1103 16th Ave SeDecatur, AL 35601-3595 · (256) 350-0362 · Fax (256) 355-9779
Phone(256) 350-0362
Fax(256) 355-9779
Sole ProprietorNo
Enumeration DateMarch 19, 2015
Last NPPES UpdateMay 16, 2015
✔ NPI 1699169474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AL · PA-1045
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1103 16TH AVE SE, Decatur, AL 35601
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Other Identifiers 4

OtherPA.1045AL · Alabama Pa License
Other51160179AL · Blue Cross Blue Shield Of Alabama
Medicare PIN102I970340AL
Medicaid170557AL

Other Providers at the Same Location NPPES 15

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

CHARLES EDWARD FORTENBERRY R.N.
Nurse Practitioner
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
MR. PHILLIP SHANNON FARRIS PA-C, MPAS.
Physician Assistant
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
RUSSELL L ELLIS MD
Physical Medicine & Rehabilitation (Sports Medicine)
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
JUSTIN L DAIGRE MD
Orthopaedic Surgery (Foot and Ankle Surgery)
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
MR. ERIC TODD SMITH OTC
Specialist/Technologist, Other (Orthopedic Assistant)
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 355-0362
ROBERT A SPARKS III MD
Orthopaedic Surgery
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
EWIN B JENKINS M.D.
Orthopaedic Surgery
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
REBECCA STEPHENSON MCWHIRTER CRNP
Nurse Practitioner (Acute Care)
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362

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 Nicholas Krishnan's NPI number?

The NPI number for Nicholas Krishnan is 1699169474. It was assigned to this individual provider in the NPPES registry on March 19, 2015.

Where is Nicholas Krishnan located?

Nicholas Krishnan practices at 1103 16th Ave SE, Decatur, AL 35601. The listed phone number is (256) 350-0362.

What is Nicholas Krishnan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Nicholas Krishnan was last updated on May 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.