KIRBY NICOLE CHISHOLM (M.D.) – Obstetrics & Gynecology Physician, NPI 1053773143

KIRBY NICOLE CHISHOLM (M.D.) is a healthcare provider. based in Columbus, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 89194 (GA). The NPI Number for KIRBY NICOLE CHISHOLM (M.D.) is 1053773143

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KIRBY NICOLE CHISHOLM (M.D.)
NPI
1053773143
Phone
(706) 320-3126
Address
2300 MANCHESTER EXPY STE 2001A
Enumeration Date
28 March 2016
Last Update Date
29 July 2024

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7063244891
Graduation Year
2017 (9 years ago)
PAC ID
6709157506
Group Practice PAC ID
8729381033
Professional Enrollment ID
I20210721001141
Address ID
GA319046877CO2300XEXPY305
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,615 OBSTETRICS/GYNECOLOGY in NC

Provider Addresses for KIRBY NICOLE CHISHOLM (M.D.)

  • 2300 MANCHESTER EXPY STE 2001A

    COLUMBUS, GA 319046802

    Phone: (706) 320-3126

    Fax: (706) 320-3054

    Type: Mailing

  • DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

    MEDICAL CENTER BOULEVARD

    WINSTON SALEM, NC 271570001

    Phone:

    Type: Mailing

  • 2300 MANCHESTER EXPY STE B001

    COLUMBUS, GA 319046877

    Phone: (706) 324-4891

    Fax: (706) 576-4958

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $689.

Total Amount is formed as General ($689) + Research ($0) + Ownership ($0) = $689.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Astellas Pharma US Inc ($370).

Total Amount

$689

General + Research + Ownership

Payments

17

Total payment records

General Amount

$689

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-07-21

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20210721001141IObstetrics/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 31904)

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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: 8729381033View full group profile
NameSpecialtyState
P S Y C H I A T R YGA
P S Y C H I A T R YGA
-WI
Physician AssistantGA
N E U R O L O G YGA
-GA
P S Y C H I A T R YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Cardiovascular Disease (Cardiology), Internal MedicineGA
Neurology, PsychiatryGA

Reviews

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Frequently asked questions

What is KIRBY NICOLE CHISHOLM (M.D.)'s NPI number?
KIRBY NICOLE CHISHOLM (M.D.)'s NPI is 1053773143 — the number used across U.S. healthcare to identify this provider.
Would KIRBY NICOLE CHISHOLM (M.D.) appear as active to a payer?
You can treat KIRBY NICOLE CHISHOLM (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KIRBY NICOLE CHISHOLM (M.D.)?
At a glance, KIRBY NICOLE CHISHOLM (M.D.) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KIRBY NICOLE CHISHOLM (M.D.)?
Travel planning: use Columbus, Georgia as the reference point for KIRBY NICOLE CHISHOLM (M.D.), then confirm.
Can I trust this NPI listing for KIRBY NICOLE CHISHOLM (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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