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

Dr. Samuel Walker Nickles, MD

Individual provider Urology Physician · NPI 1275854457

Dr. Samuel Walker Nickles, MD is an Urology in North Charleston, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2010, 16 years ago. Practices with Palmetto Adult and Childrens Urology PA, a 6-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
16
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2010
Specialties on file
2
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

2890 Tricom St
North Charleston, SC 29406-9171
Phone: (843) 797-6600
Fax: (843) 820-1440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence TL32770 (SC)
Surgery Physician Taxonomy 208600000X · Licence TL32770 (SC)

Record details

NPI number1275854457
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2010
Last updated in NPPESSeptember 16, 2015

Medicare enrollment

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

Medicare specialtyUROLOGY
Also practisesGENERAL SURGERY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Palmetto Adult And Childrens Urology Pa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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