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

Kacy Leigh Nichols, DO

Individual provider Family Medicine Physician · NPI 1770103780

Kacy Leigh Nichols, DO is a Family Practice in Gastonia, North Carolina. Qualified in 2020, 6 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and offers telehealth. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

885 Summit Crossing Pl
Gastonia, NC 28054-2193
Phone: (704) 316-4979
Fax: (704) 316-4978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8560 Cook St, Mt Pleasant, NC 28124-7686 — (704) 436-6521

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2022-02982 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 260755 (NC)

Record details

NPI number1770103780
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 20, 2020
Last updated in NPPESAugust 24, 2023
Certification dateAugust 23, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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