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DR. WILLIAM JAMES NICHOLS MD
NPI 1871054353
Family Medicine in Smyrna, GA

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
582 CONCORD RD SE, SMYRNA, GA 30082(470) 956-4030 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. William James Nichols Md NPPES

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

DR. WILLIAM JAMES NICHOLS MD (NPI 1871054353) is an individual family medicine provider in Smyrna, Georgia, licensed in Georgia (91193) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871054353
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WILLIAM JAMES NICHOLSCredential: MD
Location Address582 CONCORD RD SESmyrna, GA 30082-2616
Mailing Address582 Concord Rd SeSmyrna, GA 30082-2616 · (470) 956-4000 · Fax (770) 319-5703
Phone(470) 956-4030
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 27, 2019
Last NPPES UpdateSeptember 17, 2024
NPPES CertifiedSeptember 17, 2024
✔ NPI 1871054353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 91193
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
582 CONCORD RD SE, Smyrna, GA 30082
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. William James Nichols Md 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 ID345575031
PECOS Enrollment IDI20220630002540
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.

Areas of Expertise CMS Part B claims 4

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.

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.
68 services49 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.
29 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30082 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

DAROINE TEKLEYES MD
Family Medicine
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (770) 384-9860
ALICIA SALAMANI MD
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (470) 956-4000
AYESHA ALI MD
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (470) 956-4000
RAVI PULUSU
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (470) 956-4000
JOSHUA JOSEPH FERTIG MD
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (470) 956-4000
TREI ASHLEE OBIORAH MD
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (470) 956-4000
CRISTINA J HUACA MD
Family Medicine
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (678) 469-2162
KELSIE RUSHLOW
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (470) 956-4000

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 William Nichols's NPI number?

The NPI number for William Nichols is 1871054353. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is William Nichols located?

William Nichols practices at 582 Concord Rd SE, Smyrna, GA 30082. The listed phone number is (470) 956-4030.

What is William Nichols's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Nichols enrolled in Medicare?

Yes. William Nichols 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.

What insurance does William Nichols accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list William Nichols 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 William Nichols affiliated with any hospitals?

According to CMS data, William Nichols is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for William Nichols was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.