Look up the most recent NPI and PECOS records

James E. Nicholson

Emergency Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as JAMES NICHOLSON.

Based on the most recent information from CMS, provider James E. Nicholson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:10 AM.

Profile Details

Provider ID
1083716690
Provider Type
Individual
Full Name
Nicholson, James E.
Gender
Male

Sole Proprietor
No
Enumeration Date
9/3/2006
Last Updated
7/8/2007

Contact Information

Practice Location

800 Tilghman Dr, Dunn, NC 28334-5510

(910) 892-7161

Unlisted Fax

Mailing Location

PO Box 409540, Atlanta, GA 30384-9540

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 23867 North Carolina

Provider Identifiers

ID	Description	Issuer
ID PENDING	Description Medicaid	Issuer Unlisted North Carolina

James E. Nicholson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

The Carolinas Emergency Group, Pllc

Horne, Wallace Jennings

Carolina Coast Emergency Physicains, Llc

Ajakaiye, Michael Adebayo

Minior, Daniel

Stewart, Douglas Blair

Elder, Kerren Harry

Deangelis, Kiernan Thomas

Rana, Ahmad S

Brown, Scott Wesley