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

Dr. Daniel Alan Nicholson, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1609025790

Dr. Daniel Alan Nicholson, MD is an Orthopedic Surgery in Atlanta, Georgia. Graduated from Emory University School of Medicine in 2006, 20 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
20
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5673 Peachtree Dunwoody Rd NE Ste 825
Atlanta, GA 30342-1731
Phone: (404) 255-5595
Fax: (404) 252-2780
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 68081 (GA)

Record details

NPI number1609025790
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 12, 2008
Last updated in NPPESJune 26, 2012

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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