Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christopher W Nickum, PA

Individual provider Surgical Physician Assistant · NPI 1942260302

Christopher W Nickum, PA is a Physician Assistant in Atlanta, Georgia. Qualified in 2009, 17 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
17
Licensed in
FL, GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1365A Clifton Rd NE
Atlanta, GA 30322-1013
Phone: (404) 778-3481
Fax: (404) 778-5585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 005050 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA3218 (FL)

Record details

NPI number1942260302
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 27, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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