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KAMRYN NICOLE NICHOLES
NPI 1720836745
Physician Assistant in Atlanta, GA

Active since May 07, 2024PECOS Enrolled
868 YORK AVE SW, ATLANTA, GA 30310(404) 752-1400 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2026, May 7, 2024 (2 updates tracked since 2024).

About Kamryn Nicole Nicholes NPPES

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

KAMRYN NICOLE NICHOLES (NPI 1720836745) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (13607) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Morehouse School Of Medicine (2025).

NPPES Registry Identity

NPI1720836745
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAMRYN NICOLE NICHOLES
Location Address868 YORK AVE SWAtlanta, GA 30310-2750
Mailing Address868 York Ave SwAtlanta, GA 30310-2750 · (404) 752-1400
Phone(404) 752-1400
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2025
Enumeration DateMay 7, 2024
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1720836745 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 GA · 13607
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.
868 YORK AVE SW, Atlanta, GA 30310
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kamryn Nicole Nicholes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143799478
PECOS Enrollment IDI20260515002711
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30310 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 20

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

THERESA R JACOBS MD
Family Medicine
868 YORK AVE SW
ATLANTA, GA 30310
Fulton County (404) 752-1400
ASHLEIGH SHERON EPPS CPNP-PC
Nurse Practitioner (Pediatrics)
868 YORK AVE SW
ATLANTA, GA 30310
Fulton County (404) 752-1400
DR. CATHERINE ELAINE BURLEY MD
Internal Medicine
868 YORK AVE SW
ATLANTA, GA 30310
Fulton County (404) 752-1400
DR. SHARON V DANIEL D.D.S.
Dentist (General Practice)
868 YORK AVE SW
ATLANTA, GA 30310
Fulton County (404) 752-1400
BARBARA MEANS-CHEELEY LMSW
Social Worker
868 YORK AVE SW
ATLANTA, GA 30310
Fulton County (404) 752-1400
MICHAEL WAYNE BROOKS M.D.
Internal Medicine
868 YORK AVE SW
ATLANTA, GA 30310
Fulton County (404) 752-1400
COMPASS HEALTH SYSTEMS OF GEORGIA
Psychiatry & Neurology (Psychiatry)
868 YORK AVE SW
ATLANTA, GA 30310
Fulton County (888) 852-6672
THE FAMILY HEALTH CENTERS OF GEORGIA
Clinic/Center (Federally Qualified Health Center (FQHC))
868 YORK AVE SW
ATLANTA, GA 30310
Fulton County (404) 752-1400

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 Kamryn Nicholes's NPI number?

The NPI number for Kamryn Nicholes is 1720836745. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Where is Kamryn Nicholes located?

Kamryn Nicholes practices at 868 York Ave SW, Atlanta, GA 30310. The listed phone number is (404) 752-1400.

What is Kamryn Nicholes's specialty?

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

Is Kamryn Nicholes enrolled in Medicare?

Yes. Kamryn Nicholes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kamryn Nicholes was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.