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DR. NICOLE NATALIE SMALL MD
NPI 1952105199
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since April 04, 2025PECOS Enrolled
12 EXECUTIVE PARK DR NE STE 142, ATLANTA, GA 30329(404) 727-5157 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nicole Natalie Small Md NPPES

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

DR. NICOLE NATALIE SMALL MD (NPI 1952105199) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952105199
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. NICOLE NATALIE SMALLCredential: MD
Location Address12 EXECUTIVE PARK DR NE STE 142Atlanta, GA 30329-2206
Mailing Address12 Executive Park Dr Ne Ste 142Atlanta, GA 30329-2206 · (404) 727-5157
Phone(404) 727-5157
Sole ProprietorYes
Enumeration DateApril 4, 2025
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1952105199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12 EXECUTIVE PARK DR NE STE 142, Atlanta, GA 30329
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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 Natalie Small 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.

Other Providers at the Same Location NPPES 15

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

DR. MELISSA ORTIZ PENA MD
Student in an Organized Health Care Education/Training Program
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 727-4746
CAROLINA MEDEIROS M.D.
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 727-5157
HANNAH LESLIE ALBRITTON
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 727-5157
CATHERINE SARAH O'LEARY
Student in an Organized Health Care Education/Training Program
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 727-6143
AIDA RISMAN
Psychiatry & Neurology (Epilepsy)
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 727-1452
NAZAREE EDWARDS MD
Student in an Organized Health Care Education/Training Program
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 727-5157
DR. BENJAMIN MAXEY MD
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 727-5157
PHOI BUI MD
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE STE 142
ATLANTA, GA 30329
Dekalb County (404) 778-5526

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 Small's NPI number?

The NPI number for Nicole Small is 1952105199. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Where is Nicole Small located?

Nicole Small practices at 12 Executive Park Dr NE Ste 142, Atlanta, GA 30329. The listed phone number is (404) 727-5157.

What is Nicole Small's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Small enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Small was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.