PIDCOCK CHIROPRACTIC, INC. (NPI# 1265737423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265737423 |
| Entity Type | Organization |
| Organization Name | PIDCOCK CHIROPRACTIC, INC. |
| Practice Address |
3028 Peach Orchard Rd. Augusta GA 30906 |
| Practice Telephone | 7067988980 |
| Practice Fax Number | 7067985650 |
| Mailing Telephone | 7067988980 |
| Mailing Fax Number | 7067985650 |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-03-29 |
| Authorized Official Name | DR. SCOTT J. PIDCOCK (OWNER/OPERATOR) |
| Authorized Official Telephone | 7067988980 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 005627 | GA | Chiropractic Providers |
| Street Address |
3028 PEACH ORCHARD RD. |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1417264292 | Angela Marie Barco | General Acute Care Hospital | 3486 Peach Orchard Rd Ste 200, Augusta, GA 30906 | 2010-09-01 |
| Find all providers in zip 30906 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929568 | Jerome Lewis II | Chiropractor | 138 8th St, Augusta, GA 30901-1310 | 2016-09-08 |
| 1215395983 | Markus Daniel Mccormac | Chiropractor | 514 State St., Augusta, KS 67010-1108 | 2016-02-09 |
| 1770878027 | Patricia M Pilling | Chiropractor | 2319 Ridge Rd, Augusta, GA 30906-5520 | 2011-06-15 |
| 1891098018 | Degraaf Chiropractic Associates, Inc. | Chiropractor | 2424 Peach Orchard Rd, Augusta, GA 30906-2388 | 2010-12-09 |
| 1992939664 | Maria Viviana Nunez Aguilar | Chiropractor | 1106 Furys Ln Ste A, Augusta, GA 30907-8219 | 2009-05-11 |
| 1861632648 | Tom Edward Paris | Chiropractor | 104 Warren Rd., Augusta, GA 30907-3755 | 2009-03-06 |
| 1386883999 | Robert Evan Milhous | Chiropractor | 2321 Washington Rd, Augusta, GA 30904 | 2009-02-05 |
| 1629221213 | Life of Georgia Chiropractic Clinic | Chiropractor | 1914 Central Ave, Suite A, Augusta, GA 30904-4126 | 2008-10-28 |
| 1760602916 | James Lavallee, Dc | Chiropractor | 85 Stone St, Augusta, ME 04330-5222 | 2007-04-30 |
| 1215051115 | Stephen Lake Stephenson | Chiropractor | 1250 Merry St, Augusta, GA 30904-3845 | 2007-03-17 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.