MEDICARE: DR. NIKKI HUGHES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	064565	GA

General Provider Information

NPI Number	:	1053490938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIKKI HUGHES MD

Provider Business Mailing Address
First Line	:	601 S ENOTA DR NE
Second Line	:	SUITE Q
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-2400
Country	:	US
Telephone Number	:	770-219-8420
Fax Number	:	770-219-8440

Provider Business Practice Location Address
First Line	:	4445 S LEE ST
Second Line	:	SUITE 100
City	:	BUFORD
State	:	GA
Zip	:	30518-8804
Country	:	US
Telephone Number	:	770-848-5200
Fax Number	:	770-848-5201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	09/07/2012

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