HENRY STACY NICHOLSON MD NPI 1598773020

NPI Information

  • NPI: 1598773020
  • Provider Name: HENRY STACY NICHOLSON, MD
  • Classification: Pediatrics - 2080P0207X
  • Specialization: Pediatric Hematology-Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1001 BLYTHE BLVD
    CHARLOTTE, NC
    ZIP 28203
  • Phone: (704) 381-9900

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NPI Details

Henry Stacy Nicholson, MD is a pediatric hematology-oncology pediatrics in Charlotte, NC. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Henry Stacy Nicholson, MD NPI is 1598773020. 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:

1001 BLYTHE BLVD
CHARLOTTE, NC
ZIP 28203-866
Phone: (704) 381-9900

The NPI 1598773020 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 8/3/2006 and was last updated on 7/15/2024.

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
1208000000XPediatrics2017-02236NORTH CAROLINANo
22080P0207XPediatricsPediatric Hematology-Oncology2017-02236NORTH CAROLINAYes

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

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