DR. CLAY A. NICHOLS M.D. NPI 1396715157

NPI Information

NPI: 1396715157
Provider Name: DR. CLAY A. NICHOLS, M.D.
Classification: Pathology - 207ZF0201X
Entity Type: Individual

Specialization: Forensic Pathology

Address:
600 MOYE BLVD
ECU PHYSICIANS PATHOLOGY
GREENVILLE, NC
ZIP 27834
Phone: (252) 744-2803
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DR. Clay A. Nichols, M.D. is a forensic pathology pathology in Greenville, NC. The provider is a forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. DR. Clay A. Nichols, M.D. NPI is 1396715157. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

600 MOYE BLVD
ECU PHYSICIANS PATHOLOGY
GREENVILLE, NC
ZIP 27834-300
Phone: (252) 744-2803
Fax: (252) 744-3616

The enumeration date for this NPI number is 1/25/2006 and was last updated on 6/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		13038	SOUTH CAROLINA	No
2	207ZF0201X	Pathology	Forensic Pathology	2011-00202	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q334730001	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA	MEDICARE
2	185CZ	OTHER	NORTH CAROLINA	BCBS NC
3	010678285	OTHER	SOUTH CAROLINA	TAX-ID
4	NCI1810322	MEDICARE PIN	NORTH CAROLINA
5	1396715157	MEDICAID	NORTH CAROLINA
6	GP3481	MEDICAID	SOUTH CAROLINA
7	Q334730002	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA	MEDICARE
8	7361	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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