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

Individual provider Surgical Oncology Physician · NPI 1902003684

Nicole Kounalakis, MD is a General Surgery in Atlanta, Georgia. Qualified in 2001, 25 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
25
Licensed in
GA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

980 Johnson Fy Rd NE Ste 940A
Atlanta, GA 30342-1609
Phone: (404) 851-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12605 E 16th Ave, Aurora, CO 80045-2545 — (720) 848-0000

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X · Licence 83380 (GA)

Record details

NPI number1902003684
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2007
Last updated in NPPESJuly 18, 2019

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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