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CHRISTOPHER JAMES NICKEL MD NPI 1194111963


NPI Information

NPI: 1194111963
Provider Name: CHRISTOPHER JAMES NICKEL, MD
Classification: Otolaryngology - 207YX0007X
Entity Type: Individual

Specialization: Plastic Surgery within the Head & Neck

PECOS Registration: Yes

Address:
550 PEACHTREE ST NE STE 1135
ATLANTA, GA
ZIP 30308
Phone: (404) 778-3381
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Christopher James Nickel, MD is a plastic surgery within the head and neck otolaryngology in Atlanta, GA with 9 years of experience. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. Christopher James Nickel, MD NPI is 1194111963. 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:

550 PEACHTREE ST NE STE 1135
ATLANTA, GA
ZIP 30308-234
Phone: (404) 778-3381

The NPI 1194111963 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2015 and was last updated on 8/12/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207Y00000XOtolaryngology85394GEORGIANo
3207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckME151039FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1YH196OTHERFLORIDABCBS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.