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

Mrs. Nicole T Rivera, PA, C

Individual provider Medical Physician Assistant · NPI 1205002151

Mrs. Nicole T Rivera, PA, C is a Physician Assistant in Woodstock, Georgia. Qualified in 2007, 19 years ago. Practices with Aga, LLC, a 135-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
19
Licensed in
GA
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

900 Towne Lake Pkwy Ste 308
Woodstock, GA 30189-1602
Phone: (770) 926-5459
Fax: (770) 926-4421
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 005226 (GA)

Record details

NPI number1205002151
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA , C
Sole proprietorNo
NPI enumeratedMay 1, 2008
Last updated in NPPESApril 19, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Aga, Llc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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