Ms Nicole Lee Khoury, PA-C - Medicare Physician Assistant in Atlanta, GA

Ms Nicole Lee Khoury, PA-C is a medicare enrolled "Physician Assistant - Medical" in Atlanta, Georgia. Her current practice location is 960 Johnson Ferry Road, Suite 200 Advanced Ent, Pc, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 943-0900.

Ms Nicole Lee Khoury is licensed to practice in Georgia (license number 003041) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124144787.

Contact Information

Ms Nicole Lee Khoury, PA-C
960 Johnson Ferry Road, Suite 200 Advanced Ent, Pc,
Atlanta, GA 30342
(404) 943-0900
(404) 943-1390



Provider's Profile

Full NameMs Nicole Lee Khoury
GenderFemale
SpecialityPhysician Assistant - Medical
Location960 Johnson Ferry Road, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124144787
  • Provider Enumeration Date: 03/22/2007
  • Last Update Date: 05/26/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2466527098
  • Enrollment ID: I20080818000134

Medical Identifiers

Medical identifiers for Ms Nicole Lee Khoury such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124144787NPI-NPPES
97WCCMFOtherGACARRIER PROVIDER NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 003041 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nicole Lee Khoury is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Nicole Lee Khoury, PA-C
960 Johnson Ferry Road, Suite 200 Advanced Ent, Pc,
Atlanta, GA 30342

Ph: (404) 943-0900
Ms Nicole Lee Khoury, PA-C
960 Johnson Ferry Road, Suite 200 Advanced Ent, Pc,
Atlanta, GA 30342

Ph: (404) 943-0900

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Physician Assistant Nurses in Atlanta, GA

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