| James E Nicholson, | |
|
800 Tilghman Dr, Dunn, NC 28334-5510 | |
| (910) 892-7161 | |
| Not Available |
| Full Name | James E Nicholson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 800 Tilghman Dr, Dunn, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083716690 | NPI | - | NPPES |
| PENDING | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 23867 (North Carolina) | Primary |
| Entity Name | North Carolina Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861386 PECOS PAC ID: 1355254947 Enrollment ID: O20031110000563 |
| Entity Name | Wilson Emergency Physician Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851526644 PECOS PAC ID: 8224189386 Enrollment ID: O20090630000665 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365 |
| Mailing Address | Practice Location Address |
|---|---|
| James E Nicholson, Po Box 409540, Atlanta, GA 30384-9540 Ph: () - | James E Nicholson, 800 Tilghman Dr, Dunn, NC 28334-5510 Ph: (910) 892-7161 |
Kiernan Thomas Deangelis, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Tilghman Dr, Dunn, NC 28334 Phone: 910-891-6000 | |
Neri Wong, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Tilghman Dr, Dunn, NC 28334 Phone: 910-892-1000 Fax: 910-891-6200 | |
Wallace Jennings Horne, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Tilghman Dr, Dunn, NC 28334 Phone: 910-694-1000 Fax: 910-891-6030 | |
Dr. Michael Adebayo Ajakaiye, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Tilghman Dr, Dunn, NC 28334 Phone: 910-892-1000 | |
Dr. Ahmad S Rana, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Tilghman Dr, Dunn, NC 28334 Phone: 910-891-6000 Fax: 910-891-6001 |