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

Timothy A Nicholls, MD

Individual provider Internal Medicine Physician · NPI 1457314015

Timothy A Nicholls, MD is an Internal Medicine in Shreveport, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 1985, 41 years ago. Practices with Wk Tri-State Medical Clinic, a 13-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
41
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2006
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

2551 Greenwood Rd Ste 410
Shreveport, LA 71103-3981
Phone: (318) 621-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 018515 (LA)

Record details

NPI number1457314015
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESNovember 15, 2007

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1985 (41 years in practice)
Group practice Wk Tri-State Medical Clinic — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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