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

Dr. William Patrick Nichols, MD

Individual provider Cardiovascular Disease Physician · NPI 1306258330

Dr. William Patrick Nichols, MD is an Interventional Cardiology in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 2014, 12 years ago. Practices with St Dominic Jackson Memorial, a 55-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2014
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

970 Lakeland Dr Ste 61
Jackson, MS 39216-4682
Phone: (601) 982-7850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 969 Lakeland Dr, Jackson, MS 39216-4606 — (601) 200-6819

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 25101 (MS)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 25101 (MS)

Record details

NPI number1306258330
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2014
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023
Mailing address970 Lakeland Dr Ste 61, Jackson, MS 39216-4682

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice St. Dominic Jackson Memorial — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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