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

Kamryn Nicole Nicholes

Individual provider Physician Assistant · NPI 1720836745

Kamryn Nicole Nicholes is a Physician Assistant in Atlanta, Georgia. Graduated from Morehouse School of Medicine in 2025, 1 year ago. Licensed in Georgia.

Years since qualifying
1
Trained at
Morehouse School of Medicine
Licensed in
GA
In the registry since
2024

Practice location Address checks out

868 York Ave SW
Atlanta, GA 30310-2750
Phone: (404) 752-1400
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13607 (GA)

Record details

NPI number1720836745
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2024
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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