Jay Merwin Erickson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8125 Issued in GA

Practice address

455 N Milledge Ave
Athens, GA 30601-3807

Phone

(706) 353-7778

Fax

(706) 369-8881

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erickson Chiropractic Office, P.C.Group PAC ID 6002916731, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Erickson Chiropractic Office, P.C.

  • Chiropractor
  • Athens, GA
  • NPI 1407075443
  Medicare reassignment Care Compare group NPD Authorized official
• Chastain Chiropractic Office, P.C.

  • Chiropractor
  • Athens, GA
  • NPI 1679612741
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083753032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7787",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306047787",
            "telephone_number": "706-353-7778",
            "fax_number": "706-369-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306013807",
            "telephone_number": "706-353-7778",
            "fax_number": "706-369-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JAY",
        "middle_name": "MERWIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "8125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Wilson MD PC (Sunset Family Practice)
• Erica M Kasler, PSYD, PC
• Erickson Chiropractic Office, P.C.
• Amy Erickson, RN
• Brandi Erickson, D.C.
• Jordan Edward Erickson
• Erika Heinzle, Ms, LPC, LLC
• Robert Mitchell Ermentrout, M.D.
• Thalia Bando Escobedo, LCSW
• Brandi N Escoe

• Chiropractor in Athens, GA
• Providers in Athens, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.