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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619505559

Robert James Nicholson Jr., MD is an Emergency Medicine in Concord, North Carolina. Qualified in 2020, 6 years ago. Practices with The Charlotte-Mecklenburg Hospital Authority, a 589-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
Specialties on file
2
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

920 Church St N
Concord, NC 28025-2927
Phone: (704) 355-3181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 2024-02421 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619505559
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address920 Church St N, Concord, NC 28025-2927

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice The Charlotte-Mecklenburg Hospital Authority — 589 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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