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

Mr. Justin Doyle Nicholson, NP-C

Individual provider Family Nurse Practitioner · NPI 1457806184

Mr. Justin Doyle Nicholson, NP-C is a Nurse Practitioner in Blue Ridge, Georgia. Qualified in 2016, 10 years ago. Practices with Nsh Cancer Institute Professional Services G LLC, a 116-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

101 Riverstone Vis Ste 102
Blue Ridge, GA 30513-6630
Phone: (706) 258-4140
Fax: (706) 258-4141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN209728 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN209728 (GA)

Record details

NPI number1457806184
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 23, 2016
Last updated in NPPESAugust 19, 2020
Certification dateAugust 19, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Nsh Cancer Institute Professional Services G Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Blue Ridge