NPIMap

Organization Active NPI

Nikki D. Hill MD LLC

  • Dermatology Physician
  • Tucker, GA
National Provider Identifier
1013384064
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
71694 Issued in GA
Legal business name
NIKKI D. HILL MD LLC
Practice address
2256 Northlake Pkwy
Suite 300a
Tucker, GA 30084-4034
Phone
(888) 622-1682
Fax
(888) 622-1751
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nikki D Hill, MDNPI 1447568506
Title
Owner
Phone
(404) 452-2380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 71694 GA Primary

Addresses

Primary practice location

2256 Northlake Pkwy
Suite 300a
Tucker, GA 30084-4034

Mailing address

2256 Northlake Pkwy
Suite 300a
Tucker, GA 30084-4034
Phone (888) 622-1682

Other names 1

  • Skin of Culture and Hair Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210303003255 GA Part B Supplier - Clinic/Group Practice 3173939873 Receives reassigned benefits from 3 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

2296 Henderson Mill Rd NE
Ste 300
Atlanta, GA 30345
Phone (404) 474-2301

2256 Northlake Pkwy
Ste 300A
Tucker, GA 30084
Phone (888) 622-1682

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1013384064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 NORTHLAKE PKWY",
            "address_2": "SUITE 300A",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844034",
            "telephone_number": "888-622-1682",
            "fax_number": "888-622-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 NORTHLAKE PKWY",
            "address_2": "SUITE 300A",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844034",
            "telephone_number": "888-622-1682",
            "fax_number": "888-622-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKKI D. HILL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-452-2380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "71694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin of Culture and Hair Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.