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DR. CHARLES ANDREW NICHOLAS III D.D.S.
NPI 1982765202
Dentist - General Practice in Cleveland, TN

Active since December 12, 2006PECOS Enrolled
40 25TH ST NW, CLEVELAND, TN 37311(423) 476-4418(423) 476-0189 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Charles Andrew Nicholas Iii D.d.s. NPPES

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

DR. CHARLES ANDREW NICHOLAS III D.D.S. (NPI 1982765202) is an individual general practice provider in Cleveland, Tennessee, licensed in Tennessee (DS004224) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982765202
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHARLES ANDREW NICHOLAS IIICredential: D.D.S.
Location Address40 25TH ST NWCleveland, TN 37311-3829
Mailing Address40 25th St NwCleveland, TN 37311-3829 · (423) 476-4418 · Fax (423) 476-0189
Phone(423) 476-4418
Fax(423) 476-0189
Sole ProprietorNo
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1982765202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · DS004224
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

40 25TH ST NW, Cleveland, TN 37311
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

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. Charles Andrew Nicholas Iii D.d.s. 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 37311 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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

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

DR. JANICE BREAUX NICHOLAS D.D.S.
Dentist (General Practice)
40 25TH ST NW
CLEVELAND, TN 37311
Bradley County (423) 476-4418

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 Charles Nicholas's NPI number?

The NPI number for Charles Nicholas is 1982765202. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Charles Nicholas located?

Charles Nicholas practices at 40 25th St NW, Cleveland, TN 37311. The listed phone number is (423) 476-4418.

What is Charles Nicholas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Charles Nicholas enrolled in Medicare?

Yes. Charles Nicholas is registered in the Medicare PECOS enrollment system.

What insurance does Charles Nicholas accept?

Health plans from Humana list Charles Nicholas 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.

When was this NPI record last updated?

The NPPES record for Charles Nicholas was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.