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

Nick Coolidge, PA-C

Individual provider Pain Medicine Physician · NPI 1194105221

Nick Coolidge, PA-C is a Physician Assistant in Lansing, Michigan. Qualified in 2019, 7 years ago. Practices with Edward W Sparrow Hospital Association, a 694-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and North Carolina.

Years since qualifying
7
Licensed in
MI, NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1140 E Michigan Ave Ste 200
Lansing, MI 48912-1806
Phone: (517) 364-9400
Show map & directions

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

Additional practice locations (1)

  • 819 N Main St Ste 112, High Point, NC 27262-3996 — (336) 289-2299

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5315244432 (MI)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 0010-09447 (NC)

Record details

NPI number1194105221
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 3, 2015
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023
Mailing address6039 Willomere Cir, Winston Salem, NC 27107-3731

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Edward W Sparrow Hospital Association — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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