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DR. NICOLE EILEEN MICKLUS MD
NPI 1780439893
Internal Medicine in Augusta, GA

Active since April 22, 2024PECOS Enrolled
1120 15TH ST # BI5070, AUGUSTA, GA 30912(706) 721-2423 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2024, Apr 22, 2024 (2 updates tracked since 2024).

About Dr. Nicole Eileen Micklus Md NPPES

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

DR. NICOLE EILEEN MICKLUS MD (NPI 1780439893) is an individual internal medicine provider in Augusta, Georgia, licensed in Georgia (16729) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780439893
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NICOLE EILEEN MICKLUSCredential: MD
Location Address1120 15TH ST # BI5070Augusta, GA 30912-0004
Mailing Address1120 15th St # Bi5070Augusta, GA 30912-6602 · (706) 721-2423
Phone(706) 721-2423
Sole ProprietorYes
Enumeration DateApril 22, 2024
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1780439893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 16729
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1120 15TH ST # BI5070, Augusta, GA 30912
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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)

Dr. Nicole Eileen Micklus Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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 20

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

DR. MOHAMMAD UMAIR AZAM MD
Internal Medicine
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (200) 000-0000
DR. ROBERT SUMMERS MD
Internal Medicine
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (706) 721-2423
DR. KEVIN SHAHBAZIAN DO
Radiology (Diagnostic Radiology)
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (706) 721-2423
WILLEM JEFFERSON DE VRIES
Student in an Organized Health Care Education/Training Program
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (706) 721-2423
SEAN MICHAEL O TOOLE MD
Hospitalist
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (706) 721-2423
JOANNA EL HAJJ MD
Internal Medicine
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (706) 721-2423
ADDISON MARIE ISZLER MD
Student in an Organized Health Care Education/Training Program
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (706) 721-2423
DR. JOHN DOMINIC HETZEL MD
Internal Medicine
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (706) 721-2423

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 Nicole Micklus's NPI number?

The NPI number for Nicole Micklus is 1780439893. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Nicole Micklus located?

Nicole Micklus practices at 1120 15th St # Bi5070, Augusta, GA 30912. The listed phone number is (706) 721-2423.

What is Nicole Micklus's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicole Micklus enrolled in Medicare?

Yes. Nicole Micklus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Micklus was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.