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

Nicole Samira Lopez

Individual provider Emergency Medicine Physician · NPI 1528525409

Nicole Samira Lopez is an Emergency Medicine in Augusta, Georgia. Qualified in 2019, 7 years ago. Practices with Georgialina Physical Therapy Associates LLC, a 429-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
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Practice location Address checks out

1120 15th St
Augusta, GA 30912-1000
Phone: (706) 721-4951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9040 Fitzsimmons Dr, Joint Base Lewis McChord, WA 98431-1000 — (253) 968-0117

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 11945 (GA)

Record details

NPI number1528525409
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2019
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Georgialina Physical Therapy Associates Llc — 429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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