NICHOLAS TINKER – Maternal & Fetal Medicine Physician, NPI 1669904314

NICHOLAS TINKER is a healthcare provider. based in Mobile, Alabama. specializing in OBSTETRICS/GYNECOLOGY. They hold a License No. 100030 (GA). The NPI Number for NICHOLAS TINKER is 1669904314

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS TINKER
NPI
1669904314
Phone
(251) 415-1496
Address
1700 CENTER ST CWEB 100
Enumeration Date
31 March 2017
Last Update Date
4 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
7704248222
Graduation Year
2017 (9 years ago)
PAC ID
8426322512
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20240701001105
Address ID
GA301527742KE5150XRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:9State licenses:2Digital endpointsOther names

587 OBSTETRICS/GYNECOLOGY in AL

Provider Addresses for NICHOLAS TINKER

  • 1700 CENTER ST CWEB 100

    MOBILE, AL 366880001

    Phone: (251) 415-1496

    Type: Mailing

  • 1611 NW 12th Ave

    Miami, FL 331361005

    Phone: (305) 585-5437

    Type: Location

  • 699 CHURCH ST NE STE 310

    MARIETTA, GA 300601122

    Phone: (470) 267-1980

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230802002907IObstetrics/GynecologyFLTBD
I20240701001105IObstetrics/GynecologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36688)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

How do I look up NICHOLAS TINKER by NPI?
Use NPI 1669904314 when you need to reference NICHOLAS TINKER in forms, claims, or directories.
Is NICHOLAS TINKER's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is NICHOLAS TINKER?
The page reflects Maternal & Fetal Medicine Physician for NICHOLAS TINKER. Clinical services aligned with this taxonomy classification.
What location shows for NICHOLAS TINKER?
We surface Mobile, Alabama for NICHOLAS TINKER based on available NPPES addresses.
How can I contact NICHOLAS TINKER?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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