Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649476110 Individual Practitioner Male Practitioner

Dr. James Thomas Nichols , MD

General Practice • Mims, FL

Professional Overview & Biography Verified Profile Summary

Dr. James Nichols, MD is a registered healthcare professional specializing in General Practice in Mims, FL. Practice services are available at 3635 PENNSYLVANIA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3635 Pennsylvania Ave

Mims, FL 327545114

Telephone 3212892204
Fax 4058441794

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Mims, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Mims, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME122364

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License FL ME122364

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1010693 (LA)
Commercial Insurance / Payer ID Railroad Mcare
P01045513 (LA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Jacklyn Lemoine , APRN

Nurse Practitioner - Family

NPI 1255721619

Advanced Practice Registered Nurse

NPI 1528357639

Doctor of Medicine (M.D.)

Dr. Donald Haslam , MD

Emergency Medicine

NPI 1689601866

Doctor of Medicine (M.D.)

Dr. Nahla Darkazally , MD

Emergency Medicine

NPI 1760591689

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 18, 2015

Registered at 3635 PENNSYLVANIA AVE, MIMS, FL 327545114 (Tel: 3212892204)

📍
Updated Business Mailing Address November 18, 2015

Registered at 3635 PENNSYLVANIA AVE, MIMS, FL 327545114 (Tel: 3212892204)

👤
Provider Name / Credentials Updated November 18, 2015

Recorded as JAMES NICHOLS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2015

Emergency Medicine (License #ME122364 in FL)

🟢
Initial NPI Registration & Enumeration June 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649476110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2007
Last Update: November 18, 2015
Sole Proprietor: No

Mailing Address

3635 Pennsylvania Ave

Mims, FL 327545114

Phone: 3212892204

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.