P Praxis·MD
● Active Type 1 · Individual

Julie Tierney Nicholson, M.D.

Family Medicine·Woodstock, GA· NPI 1386055705 · Enumerated 2014 · 12 years on NPI
Nicholson is 1 of 55 family medicine providers in Woodstock and 1 of 5448 in Georgia.
NPI age
12 years
Enumerated 2014-05-20
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
12 years
↓ 5 yr below median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-05Enumerated in NPPES
2014 2026

Where they practice

Practice location
203 Woodpark Pl Ste 100
Woodstock, GA 301883705
📞 7709264150fax 7709260594
Mailing address
203 Woodpark Pl Ste 100
Woodstock, GA 301883705
📞 7709264150fax 7709260594

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2097 Henry Tecklenburg Dr Ste 220w
Charleston, SC 294145740
📞 8435716868

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #98300SC license #87263 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (SC) 872639
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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