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

Jacqueline Eckert Nichols, PA-C

Individual provider Medical Physician Assistant · NPI 1689971079

Jacqueline Eckert Nichols, PA-C is a Medical Physician Assistant in Atlanta, Georgia. Licensed in Georgia and South Carolina. Registered with an NPI since 2011.

Licensed in
GA, SC
In the registry since
2011
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5673 Peachtree Dunwoody Rd Ste 870
Atlanta, GA 30342-5029
Phone: (404) 255-2975
Fax: (404) 255-2276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 8003 (GA)
Medical Physician Assistant Taxonomy 363AM0700X (SC)
Physician Assistant Taxonomy 363A00000X (SC)
Surgical Physician Assistant Taxonomy 363AS0400X (SC)

Record details

NPI number1689971079
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 21, 2011
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019

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