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DR. JEFFREY M NICHOLAS MD
NPI 1942382445
Surgery - Surgical Critical Care in Lawrenceville, GA

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
631 PROFESSIONAL DR, SUITE 120, LAWRENCEVILLE, GA 30046(678) 312-3290(678) 312-2733 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2020, Dec 14, 2018 (2 updates tracked since 2018).

About Dr. Jeffrey M Nicholas Md NPPES

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

DR. JEFFREY M NICHOLAS MD (NPI 1942382445) is an individual surgical critical care provider in Lawrenceville, Georgia, licensed in Georgia (048377) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Georgetown University School Of Medicine (1990).

NPPES Registry Identity

NPI1942382445
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. JEFFREY M NICHOLASCredential: MD
Location Address631 PROFESSIONAL DR, SUITE 120Lawrenceville, GA 30046-3367
Mailing Address631 Professional Dr Ste 120Lawrenceville, GA 30046-3370 · (678) 312-3290 · Fax (678) 312-2733
Phone(678) 312-3290
Fax(678) 312-2733
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1990
Enumeration DateOctober 20, 2006
Last NPPES UpdateNovember 3, 20202 updates tracked since enumeration
NPPES CertifiedNovember 3, 2020
✔ NPI 1942382445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in GA · 048377
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 048377 (GA)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 048377 (GA)
631 PROFESSIONAL DR, Lawrenceville, GA 30046
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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 and accepts Medicare assignment

Dr. Jeffrey M Nicholas 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 ID941396931
PECOS Enrollment IDI20071023000096
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
26 services17 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

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.

ROSALEE M GOBEILLE-DORMIO FNP
Nurse Practitioner (Family)
631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-4895
REBEKAH E THOMAS PA
Physician Assistant
631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-4895
REBECA C KLATT NP-C
Nurse Practitioner (Adult Health)
631 PROFESSIONAL DR, SUITE 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
MR. LAWRENCE D KAPLAN MD
Internal Medicine (Critical Care Medicine)
631 PROFESSIONAL DR, SUITE 350
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-0630
RICHARD THOMAS HEIMBECKER P.A.-C
Physician Assistant (Surgical)
631 PROFESSIONAL DR, SUITE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-3500
WALLACE F. MARTIN, M.D.
Surgery
631 PROFESSIONAL DR, SUITE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-9977
DR. VOSUDESH K PAI
Internal Medicine (Critical Care Medicine)
631 PROFESSIONAL DR, SUITE # 350
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-0630
KENNETH L NORRIS P.A.
Physician Assistant (Surgical)
631 PROFESSIONAL DR, SUITE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-3500

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 Jeffrey Nicholas's NPI number?

The NPI number for Jeffrey Nicholas is 1942382445. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Jeffrey Nicholas located?

Jeffrey Nicholas practices at 631 Professional Dr Suite 120, Lawrenceville, GA 30046. The listed phone number is (678) 312-3290.

What is Jeffrey Nicholas's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Jeffrey Nicholas enrolled in Medicare?

Yes. Jeffrey Nicholas 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.

Is Jeffrey Nicholas affiliated with any hospitals?

According to CMS data, Jeffrey Nicholas is affiliated with Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Jeffrey Nicholas was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.