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

Nicole Marchelle Herath

Individual provider Physician Assistant · NPI 1295224350

Nicole Marchelle Herath is a Physician Assistant in Columbus, Ohio. Qualified in 2018, 8 years ago. Practices with Genesis Medical Group, LLC, a 262-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
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Practice location Address checks out

55 Dillmont Dr
Columbus, OH 43235-6458
Phone: (614) 802-6080
Fax: (380) 255-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3525 Olentangy River Rd Ste 4330, Columbus, OH 43214-3937 — (614) 255-6900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.005754RX (OH)

Record details

NPI number1295224350
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2018
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Genesis Medical Group, Llc — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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