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

Mr. Colby Lake Nicholson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1558953737

Mr. Colby Lake Nicholson, FNP-C is a Nurse Practitioner in Lagrange, Georgia. Qualified in 2020, 6 years ago. Practices with Urgencare, LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

309 Vernon St
Lagrange, GA 30240-3162
Phone: (706) 885-9110
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN259729 (GA)

Record details

NPI number1558953737
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 9, 2021
Last updated in NPPESFebruary 9, 2021
Certification dateJanuary 26, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Urgencare, Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lagrange