DR. JOE DANIEL JR. NICHOLS (MD) – Family Medicine Physician, NPI 1619080561

DR. JOE DANIEL JR. NICHOLS (MD) is a healthcare provider. based in Atlanta, Texas. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. D3947 (TX). The NPI Number for DR. JOE DANIEL JR. NICHOLS (MD) is 1619080561

Main info

Male
60 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOE DANIEL JR. NICHOLS (MD)
NPI
1619080561
Phone
(903) 796-2868
Address
1011 SOUTH WILLIAM
Enumeration Date
16 August 2006
Last Update Date
28 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
9037962868
Graduation Year
1966 (60 years ago)
PAC ID
0840329801
Group Practice PAC ID
8820038565
Professional Enrollment ID
I20100831000455
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. JOE DANIEL JR. NICHOLS (MD)

  • 1011 SOUTH WILLIAM

    ATLANTA, TX 755513245

    Phone: (903) 796-2868

    Fax: (903) 796-0826

    Mailing address matches the actual address.

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 $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

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: 2010-08-31

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
I20100831000455IFamily PracticeTXTBD

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 75551)

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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: 8820038565View full group profile
NameSpecialtyState
-TX
O B S T E T R I C S/ G Y N E C O L O G YLA
Family PracticeTX
Nurse PractitionerAR
Nurse PractitionerTX
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
Mental Health CounselorAR

Reviews

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Frequently asked questions

How do payers reference DR. JOE DANIEL JR. NICHOLS (MD)?
For DR. JOE DANIEL JR. NICHOLS (MD), use NPI 1619080561 as the unique 10-digit identifier.
Is DR. JOE DANIEL JR. NICHOLS (MD) shown as active in public data?
Registry records indicate DR. JOE DANIEL JR. NICHOLS (MD) maintains an active NPI.
What expertise is attributed to DR. JOE DANIEL JR. NICHOLS (MD)?
DR. JOE DANIEL JR. NICHOLS (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOE DANIEL JR. NICHOLS (MD) associated with Atlanta?
Public fields place DR. JOE DANIEL JR. NICHOLS (MD) around Atlanta, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. JOE DANIEL JR. NICHOLS (MD) is noted as August 16, 2006 where the registry provides it.

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