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

Dr. Nicole Eileen Micklus, MD

Individual provider Internal Medicine Physician · NPI 1780439893

Dr. Nicole Eileen Micklus, MD is an Internal Medicine Physician in Augusta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024
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

1120 15th St # BI5070
Augusta, GA 30912-0004
Phone: (706) 721-2423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 16729 (GA)

Record details

NPI number1780439893
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 22, 2024
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address1120 15th St # Bi5070, Augusta, GA 30912-6602

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