Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Memorie Morgan Nichols, PA-C

Individual provider Physician Assistant · NPI 1144491937

Memorie Morgan Nichols, PA-C is a Physician Assistant in Fayetteville, Georgia. Qualified in 2006, 20 years ago. Practices with Piedmont Providers LLC, a 518-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
20
Licensed in
GA
In the registry since
2008
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

1279 Highway 54 W Ste 210
Fayetteville, GA 30214-4550
Phone: (770) 719-5710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005320 (GA)

Record details

NPI number1144491937
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 19, 2008
Last updated in NPPESOctober 28, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Piedmont Providers Llc — 518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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