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

Individual provider Pediatrics Physician · NPI 1598773020

Henry Stacy Nicholson, MD is a Pediatrics Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
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

1001 Blythe Blvd
Charlotte, NC 28203-5866
Phone: (704) 381-9900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence 2017-02236 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence 2017-02236 (NC)

Record details

NPI number1598773020
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESJuly 15, 2024

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