Nichole Douglass, RN - Registered Nurse in Smyrna, GA

Nichole Douglass, RN is a Registered Nurse - Case Management based in Smyrna, Georgia. Nichole Douglass is licensed to practice in Georgia (license number RN205945) and her current practice location is 1955 Lake Park Dr Se Ste 300, Smyrna, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 319-4705.

NPI number for Nichole Douglass is 1336407212 and her current mailing address is 1955 Lake Park Dr Se Ste 300, Smyrna, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336407212.

Contact Information

Nichole Douglass, RN
1955 Lake Park Dr Se Ste 300,
Smyrna, GA 30080-8855
(770) 319-4705
(770) 514-2803



Provider's Profile

Full NameNichole Douglass
GenderFemale
SpecialityRegistered Nurse - Case Management
Location1955 Lake Park Dr Se Ste 300, Smyrna, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336407212
  • Provider Enumeration Date: 04/27/2012
  • Last Update Date: 04/27/2012

Medical Identifiers

Medical identifiers for Nichole Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336407212NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0400XRegistered Nurse - Case Management RN205945 (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. Nichole Douglass is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nichole Douglass, RN
1955 Lake Park Dr Se Ste 300,
Smyrna, GA 30080-8855

Ph: (770) 319-4705
Nichole Douglass, RN
1955 Lake Park Dr Se Ste 300,
Smyrna, GA 30080-8855

Ph: (770) 319-4705

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› Verified 5 days ago


Registered Nurse Nurses in Smyrna, GA

Alicia Wilson,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4590 Valley Pkwy Se Apt G, Smyrna, GA 30082
Phone: 470-503-8053    
Frances Caranto Gumienny, LPC
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3740 Cline Dr Se, Smyrna, GA 30082
Phone: 678-401-7235    
Miss Jacquelyn Denise Owens, APRN, CNS/PMH-BC
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 3188 Atlanta Rd Se, Smyrna, GA 30080
Phone: 770-319-6000    
Patricia Ann Weaver, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3089 Lee St Se, Smyrna, GA 30080
Phone: 770-801-0321    Fax: 770-801-0321
Deletha Hernton, LACTATION CONSULTANT
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1195 Comet View Trl Se, Smyrna, GA 30082
Phone: 404-399-7195    
Karin Denise Brown, R.N.
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3903 S Cobb Dr Se, Suite 220, Smyrna, GA 30080
Phone: 770-363-8770    Fax: 770-436-8042
Ms. Cassandra Faye Carlisle, NP
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1314 Concord Rd Se, Smyrna, GA 30080
Phone: 770-333-8889    Fax: 770-333-8948

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