DR. JEFFREY M NICHOLAS (MD) – Surgical Critical Care Physician, NPI 1942382445

DR. JEFFREY M NICHOLAS (MD) is a healthcare provider. based in Lawrenceville, Georgia. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. 048377 (GA). The NPI Number for DR. JEFFREY M NICHOLAS (MD) is 1942382445

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY M NICHOLAS (MD)
NPI
1942382445
Phone
(678) 312-3290
Address
631 PROFESSIONAL DR STE 120
Enumeration Date
20 October 2006
Last Update Date
3 November 2020

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6783124321
Graduation Year
1990 (36 years ago)
PAC ID
0941396931
Group Practice PAC ID
9133211139
Professional Enrollment ID
I20071023000096
Address ID
GA300467694LA1000XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,092 GENERAL SURGERY in GA

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Provider Addresses for DR. JEFFREY M NICHOLAS (MD)

  • Professional Drive, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    LAWRENCEVILLE, GA 300463370

    Phone: (678) 312-3290

    Fax: (678) 312-2733

    Type: Mailing

  • 631, Professional Drive, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    SUITE 120

    LAWRENCEVILLE, GA 300463367

    Phone: (678) 312-3290

    Fax: (678) 312-2733

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Aroa Biosurgery Incorporated ($39).

Total Amount

$59

General + Research + Ownership

Payments

2

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2007-10-23

PECOS data refreshed: 2026-05-27

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
I20071023000096IGeneral SurgeryGATBD

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
99291Critical care, first 30-74 minutes2921$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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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: 9133211139View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. JEFFREY M NICHOLAS (MD) in U.S. healthcare records?
The official identifier for DR. JEFFREY M NICHOLAS (MD) is NPI 1942382445.
Is DR. JEFFREY M NICHOLAS (MD) still an active registrant?
DR. JEFFREY M NICHOLAS (MD) carries an active NPI according to the public dataset.
What expertise is attributed to DR. JEFFREY M NICHOLAS (MD)?
DR. JEFFREY M NICHOLAS (MD)'s specialty line reads Surgical Critical Care Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is DR. JEFFREY M NICHOLAS (MD) registered?
Use Lawrenceville, Georgia as the headline location for DR. JEFFREY M NICHOLAS (MD) here.
Does DR. JEFFREY M NICHOLAS (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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