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

Nicole Rivera

Individual provider Physician Assistant · NPI 1821877259

Nicole Rivera is a Physician Assistant in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

720 Ralph McGill Blvd NE Unit 509
Atlanta, GA 30312-1197
Phone: (802) 595-1933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 12928 (GA)

Record details

NPI number1821877259
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2023
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

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