Individual provider · Type 1 NPI

Kamryn Nicole Nicholes

Physician Assistant · Atlanta, GA

NPI number 1720836745 Active

Practice location

868 York Ave SW
Atlanta, GA 30310-2750

Call (404) 752-1400 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X13607 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1720836745

Kamryn Nicole Nicholes's National Provider Identifier is 1720836745, issued on May 7, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Atlanta, GA. The record was last updated on Jan 12, 2026.