NICHOLE NGUYEN (CNM) – Advanced Practice Midwife, NPI 1235402710
Advanced Practice Midwife
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NICHOLE NGUYEN (CNM)
1105 BURLEYSON RD
DALTON, GA 30720
Phone: (706) 278-4640
Type: Location
1061 HARMON AVE
FORT STEWART, GA 313145641
Phone: (912) 435-6633
Type: Mailing
PO BOX 12938
C/O CLINIC MANAGEMENT
CALHOUN, GA 30703
Phone: (706) 602-7800
Type: Mailing
105 JW PLAZA DR SE STE 1
CALHOUN, GA 307011503
Phone: (706) 383-5622
Type: Mailing
170 CURTIS PKWY NE STE 1
CALHOUN, GA 307012062
Phone: (706) 879-5770
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $153.
Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Organon LLC ($74).
Total Amount
$153
General + Research + Ownership
Payments
8
Total payment records
General Amount
$153
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $74 |
| OptumHealth Care Solutions, LLC | $25 |
| Hologic Sales and Service, LLC | $23 |
| ABBVIE INC. | $16 |
| Acella Pharmaceuticals, LLC | $15 |
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: 2025-01-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250116000556 | I | Certified Nurse Midwife (Cnm) | GA | TBD |
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.
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 30720)
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Reviews
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