Doctor profile · Federal record
Dr. Nickoloz Tchankoshvili, M.D.
Obstetrics & Gynecology Physician · Student in an Organized Health Care Education/Training Program · Leesburg, FL
- NPI 1699088625
- 16 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1414 E Main St
Leesburg, FL 347485399
(352) 728-3898
fax (352) 728-6240 - Mailing address
-
Po Box 44008
Jacksonville, FL 322314008
Credentials & registration
- NPI registered
- July 2010 — 16 yrs on file
- Profile last updated
- December 4, 2018
- Specialty taxonomy
- 207V00000X — NUCC code
- State license (1)
- Florida #ME120378
- Medicaid (2)
- GA #003150531A · FL #012796400
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1699088625. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$62
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GE HEALTHCARE | 1 | $62.00 |
By nature of payment
Frequently asked questions
What is Dr. Nickoloz Tchankoshvili's medical specialty?
Dr. Nickoloz Tchankoshvili practices Obstetrics & Gynecology Physician in Leesburg, FL.
Where does Dr. Nickoloz Tchankoshvili practice?
Dr. Nickoloz Tchankoshvili practices at 1414 E Main St, Leesburg, FL 347485399. Office phone: 3527283898.
What is Dr. Nickoloz Tchankoshvili's NPI?
Dr. Nickoloz Tchankoshvili's National Provider Identifier (NPI) is 1699088625, issued by NPPES.