P Praxis·MD
● Active Type 1 · Individual

Jacqueline Eckert Nichols, PA-C

Physician Assistant·Atlanta, GA· NPI 1689971079 · Enumerated 2011 · 15 years on NPI
Nichols is 1 of 128 physician assistant providers in Atlanta and 1 of 640 in Georgia.
NPI age
15 years
Enumerated 2011-02-21
Primary specialty
Physician Assistant
Plus 3 subspecialties
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-12-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
15 years
↑ 2 yr above median (13 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
2
In the 37% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-02Enumerated in NPPES
2011 2026

Where they practice

Practice location
5673 Peachtree Dunwoody Rd Ste 870
Atlanta, GA 303425029
📞 4042552975fax 4042552276
Mailing address
Po Box 751461
Charlotte, NC 282751461
📞 8437926200

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #8003 taxonomy 363AS0400X
  • Physician Assistant
    Definition to come...
    taxonomy 363AM0700X
  • Physician Assistant
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 6 other active providers share 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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