DR. AMANDA GRAY NICOLS M.D.
NPI 1720273535
Obstetrics & Gynecology in Jackson, MS

Q: What is Amanda Nicols's NPI number?

The NPI number for Amanda Nicols is 1720273535. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Q: What is Amanda Nicols's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Nicols was last updated on November 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 September 14, 2007PECOS EnrolledAccepts Medicare Assignment

501 MARSHALL STREET, SUITE 400, JACKSON, MS 39202(601) 354-0869 Get Directions Write a Review

NPPES record last updated: November 19, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Amanda Gray Nicols M.d. NPPES

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

DR. AMANDA GRAY NICOLS M.D. (NPI 1720273535) is an individual obstetrics & gynecology provider in Jackson, Mississippi, licensed in Mississippi (20191) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and is a graduate of University Of Mississippi School Of Medicine (2004).

NPPES Registry Identity

NPI1720273535

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. AMANDA GRAY NICOLSCredential: M.D.

Location Address501 MARSHALL STREET, SUITE 400Jackson, MS 39202-1687

Mailing Address501 Marshall Street, Suite 400Jackson, MS 39202-1687 · (601) 354-0869

Phone(601) 354-0869

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2004

Enumeration DateSeptember 14, 2007

Last NPPES UpdateNovember 19, 2011

✔ NPI 1720273535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MS · 20191

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

501 MARSHALL STREET, Jackson, MS 39202

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Other Identifiers 2

Medicaid08221030MS

Medicare PIN512I160057MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Dr. Amanda Gray Nicols M.d. 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 ID2567538705

PECOS Enrollment IDI20080911000472

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 Amanda Nicols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Womans Clinic Of Ms PLLC

Same address

Obstetrics & Gynecology

501 MARSHALL ST, SUITE 400
Jackson, MS 39202

Reassigned Medicare billing, Mississippi enrollment
11 clinicians in this Medicare group

NPI 1003843210 (601) 354-0869

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 12

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.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

132 services132 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

130 services130 patients

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328

A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.

110 services110 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

85 services85 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

77 services73 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

74 services74 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

57 services57 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services29 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

24 services23 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

21 services19 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

14 services14 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250102

Location1225 N State StJackson, MS 39202 · Hinds County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39202 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

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 9

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

DR. JESSE C ETHRIDGE MD

Obstetrics & Gynecology

501 MARSHALL STREET, SUITE 400
JACKSON, MS 39202

Hinds County (601) 354-0869

DR. JAMES HOLT CREWS MD

Obstetrics & Gynecology

501 MARSHALL STREET, SUITE 400
JACKSON, MS 39202

Hinds County (601) 354-0869

DR. JOHN R WOOLEY MD

Obstetrics & Gynecology

501 MARSHALL STREET, SUITE 400
JACKSON, MS 39202

Hinds County (601) 354-0869

WOMEN'S SPECIALTY CENTER, LLC

Obstetrics & Gynecology (Gynecology)

501 MARSHALL STREET, SUITE 600
JACKSON, MS 39202

Hinds County (601) 948-6540

VINOD K ANAND

Otolaryngology

501 MARSHALL STREET, SUITE 602
JACKSON, MS 39202

Hinds County (601) 969-1910

ANNA D WALLEY FNP

Nurse Practitioner (Family)

501 MARSHALL STREET, SUITE 200
JACKSON, MS 39202

Hinds County (601) 914-9503

DR. LELAND D GEBHART III MD

Obstetrics & Gynecology

501 MARSHALL STREET, SUITE 400
JACKSON, MS 39202

Hinds County (601) 354-0869

EMILY B TILLMAN RD

Dietitian, Registered

501 MARSHALL STREET, SUITE 400
JACKSON, MS 39202

Hinds County (601) 354-0869

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 Amanda Nicols's NPI number?

The NPI number for Amanda Nicols is 1720273535. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Where is Amanda Nicols located?

Amanda Nicols practices at 501 Marshall Street Suite 400, Jackson, MS 39202. The listed phone number is (601) 354-0869.

What is Amanda Nicols's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Amanda Nicols enrolled in Medicare?

Yes. Amanda Nicols 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 organization bills Medicare for Amanda Nicols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Nicols reassigns Medicare benefits to The Womans Clinic Of Ms PLLC (Jackson, MS). 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 Amanda Nicols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Nicols accept?

Health plans from Molina Healthcare list Amanda Nicols 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.

Is Amanda Nicols affiliated with any hospitals?

According to CMS data, Amanda Nicols is affiliated with Mississippi Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Amanda Nicols was last updated on November 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.