Dr. Michael David Nickerson Jr., MD
Dr. Michael David Nickerson Jr., MD is an Anesthesiology in Fort Liberty, North Carolina. Qualified in 2008, 18 years ago. Practices with Medstream Anesthesia PLLC, a 577-clinician group and accepts Medicare assignment. Licensed in North Carolina, Texas and Virginia.
- Years since qualifying
- 18
- Licensed in
- NC, TX, VA
- In the registry since
- 2009
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2817 Rock Merritt Ave Stop AFort Liberty, NC 28310-7394
Phone: (910) 908-2318
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence 2019-02595 (NC) |
|---|---|
| Anesthesiology Physician | Taxonomy 207L00000X · Licence Q4227 (TX) |
| Anesthesiology Physician | Taxonomy 207L00000X · Licence 0101246915 (VA) |
Record details
| NPI number | 1790927671 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 24, 2009 |
| Last updated in NPPES | January 1, 2025 |
| Certification date | January 1, 2025 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Medstream Anesthesia Pllc — 577 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |