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

Theodore Nicholson, MD

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1275590051

Theodore Nicholson, MD is an Emergency Medicine in Carrollton, Georgia. Graduated from Meharry Medical College School of Medicine in 1981, 45 years ago. Practices with Carrollton Emergency Physicians PC, a 33-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
45
Trained at
Meharry Medical College School of Medicine
Licensed in
GA
In the registry since
2006
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

705 Dixie St
Carrollton, GA 30117-3818
Phone: (770) 836-9666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 029920 (GA)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 029920 (GA)

Record details

NPI number1275590051
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESApril 28, 2010
Mailing address2346 Bowwood Ct, Villa Rica, GA 30180-9733

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Group practice Carrollton Emergency Physicians Pc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Carrollton