ANGELA EVETTE NICHOLAS NPI 1124987664

NPI Information

  • NPI: 1124987664
  • Provider Name: ANGELA EVETTE NICHOLAS
  • Classification: Private Vehicle - 347C00000X
  • Entity Type: Individual
  • Address: 1909 SUMMERCOURT DR BLDG 19
    JONESBORO, GA
    ZIP 30236
  • Phone: (404) 820-8100

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NPI Details

Angela Evette Nicholas is a private vehicle in Jonesboro, GA. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. Angela Evette Nicholas NPI is 1124987664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1909 SUMMERCOURT DR BLDG 19
JONESBORO, GA
ZIP 30236-525
Phone: (404) 820-8100

The enumeration date for this NPI number is 1/20/2026 and was last updated on 1/20/2026.

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
1347C00000XPrivate Vehicle055633269GEORGIAYes

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: 11/21/2025

NPI Synchronization or Removal

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