NICKLAUS BRIAN CHILDERS (NP-C) – Family Nurse Practitioner, NPI 1093036725

NICKLAUS BRIAN CHILDERS (NP-C) is a healthcare provider. based in Fortson, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 1-116752 (AL). The NPI Number for NICKLAUS BRIAN CHILDERS (NP-C) is 1093036725

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
NICKLAUS BRIAN CHILDERS (NP-C)
NPI
1093036725
Phone
Not provided
Address
PO BOX 370
Enumeration Date
16 June 2010
Last Update Date
28 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7064943434
Graduation Year
2018 (8 years ago)
PAC ID
7719236090
Group Practice PAC ID
1355254780
Professional Enrollment ID
I20180820002426
Address ID
GA319093540CO6262XPKWY302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:15State licenses:3Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for NICKLAUS BRIAN CHILDERS (NP-C)

  • PO BOX 370

    FORTSON, GA 318080370

    Phone:

    Fax: (706) 494-3008

    Type: Mailing

  • 6262 VETERANS PKWY

    COLUMBUS, GA 31909

    Phone: (706) 324-6661

    Fax: (706) 494-3235

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2023-02-02 • Largest payer in this snapshot: Boston Scientific Corporation ($104).

Total Amount

$104

General + Research + Ownership

Payments

1

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-02

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: 2018-08-20

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
I20180820002328INurse PractitionerALTBD
I20180820002426INurse PractitionerGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5352$0
27447Replacement of knee joint, both sides of knee3634$0
20610Aspiration and/or injection of fluid from large joint2020$0
23430Anchoring of biceps tendon1111$0
29827Repair of shoulder rotator cuff using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 31808)

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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: 1355254780View full group profile
NameSpecialtyState
-GA
-AL
Physician AssistantAL
Physical Therapist In Private PracticeGA
Sports Medicine, Orthopedic Surgery, Orthopedic SurgeryGA
Physical Therapist In Private PracticeSC
Occupational Therapist In Private PracticeGA
-GA
Physical Therapist In Private PracticeGA
-GA

Reviews

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Frequently asked questions

How do I look up NICKLAUS BRIAN CHILDERS (NP-C) by NPI?
Use NPI 1093036725 when you need to reference NICKLAUS BRIAN CHILDERS (NP-C) in forms, claims, or directories.
Is NICKLAUS BRIAN CHILDERS (NP-C)'s NPI currently valid?
The extract we use shows NICKLAUS BRIAN CHILDERS (NP-C) as active.
Does NICKLAUS BRIAN CHILDERS (NP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for NICKLAUS BRIAN CHILDERS (NP-C). Clinical services aligned with this taxonomy classification.
Where does public data place NICKLAUS BRIAN CHILDERS (NP-C)?
The snapshot lists Fortson, Georgia for NICKLAUS BRIAN CHILDERS (NP-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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