Doctor profile · Federal record
Dr. Nicole Ivan, DO
Surgery Physician · Augusta, GA
- NPI 1386483444
- 2 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1459 Laney Walker Boulevard, Ae 3046
Augusta, GA 30912
(706) 721-2503 - Mailing address
-
5 Bailiwick Dr
Warren, NJ 070596847
Credentials & registration
- NPI registered
- May 2024 — 2 yrs on file
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Georgia #16269
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1386483444. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$202
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Smith+Nephew, INC. | 1 | $125.00 | |
| Aroa Biosurgery Incorporated | 1 | $77.42 |
By nature of payment
Frequently asked questions
What is Dr. Nicole Ivan's medical specialty?
Dr. Nicole Ivan practices Surgery Physician in Augusta, GA.
Where does Dr. Nicole Ivan practice?
Dr. Nicole Ivan practices at 1459 Laney Walker Boulevard, Augusta, GA 30912. Office phone: 7067212503.
What is Dr. Nicole Ivan's NPI?
Dr. Nicole Ivan's National Provider Identifier (NPI) is 1386483444, issued by NPPES.