Look up the most recent NPI and PECOS records

William Nickles

Family Medicine

Allopathic & Osteopathic Physicians

1601 Owen Dr, Fayetteville, NC 28304-3425

PECOS Enrollment

Based on the most recent information from CMS, provider William Nickles 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 5 days ago.

Profile Details

Provider ID
1902252455
Provider Type
Individual
Full Name
Nickles, William
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/13/2016
Last Updated
5/13/2016

Contact Information

Practice Location

1601 Owen Dr, Fayetteville, NC 28304-3425

(910) 678-0100

(910) 678-0115

Mailing Location

1601 Owen Dr, Fayetteville, NC 28304-3425

(910) 678-0100

(910) 678-0115

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 217600 North Carolina

William Nickles

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Jos R Santz I Md Pc

Tran, Hung Vihn

Riddley, Diana

Newkirk, Calbee Deiona

Brown, Josephine R

Aime, Gerard Ronel

Villanueva, Arielle

May, Jessica Parker

Bowles, Robert Bradford

Melley, Ofelia Marie