Mr Colby Lake Nicholson, FNP-C - Medicare Nurse Practitioner in Lagrange, GA

Mr Colby Lake Nicholson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lagrange, Georgia. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Urgencare, Llc and his current practice location is 309 Vernon St, Lagrange, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 885-9110.

Mr Colby Lake Nicholson is licensed to practice in Georgia (license number RN259729) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558953737.

Contact Information

Mr Colby Lake Nicholson, FNP-C
309 Vernon St,
Lagrange, GA 30240-3162
(706) 885-9110
Not Available

Map and Direction




Provider's Profile

Full NameMr Colby Lake Nicholson
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location309 Vernon St, Lagrange, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Colby Lake Nicholson graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1558953737
  • Provider Enumeration Date: 02/09/2021
  • Last Update Date: 02/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6800299298
  • Enrollment ID: I20210722001915

Medical Identifiers

Medical identifiers for Mr Colby Lake Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558953737NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN259729 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Urgencare, Llc711325032518

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Colby Lake Nicholson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Colby Lake Nicholson, FNP-C
110 Lakemont Ct,
Lagrange, GA 30240-7791

Ph: (706) 289-5132
Mr Colby Lake Nicholson, FNP-C
309 Vernon St,
Lagrange, GA 30240-3162

Ph: (706) 885-9110

Reviews and Comments


Nurse Practitioner Nurses in Lagrange, GA

Ms. Carla Howell, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 200 Medical Dr, Lagrange, GA 30240
Phone: 706-803-7180    
Uzoamaka P Okonkwo,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1400 Hogansville Rd, Lagrange, GA 30241
Phone: 706-803-7390    
Jennifer Nichole Speelman, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Medical Dr Ste 705, Lagrange, GA 30240
Phone: 706-803-7960    Fax: 706-803-8808
Maria Ann Daniel, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1551 Doctors Dr, Building 200, Lagrange, GA 30240
Phone: 706-884-2641    Fax: 706-884-2353
Notoya Scott, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241
Phone: 706-443-5273    Fax: 762-323-1014
Anna Odom, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1602 Vernon Rd, Ste 400, Lagrange, GA 30240
Phone: 706-882-9341    Fax: 706-884-0131
Mr. Harry Rafael Sevilla Abilla, NP-C, CRNA, MSN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 310 North Davis Street, Lagrange, GA 30240
Phone: 706-812-4068    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.