Organization Active NPI

Nicole a. Ford DC Inc

  • Chiropractor
  • Villa Rica, GA
National Provider Identifier
1124350665
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006923 Issued in GA
Legal business name
NICOLE A. FORD DC INC
Practice address
117 S Carroll Rd
Villa Rica, GA 30180-2729
Phone
(770) 459-8439
Fax
(770) 459-8440
NPI assigned
Feb 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Dr. Nicole A. Ford, D.C.NPI 1922168848
Title
Ceo
Phone
(770) 459-8439

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
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CHIR006923 GA Primary

Addresses

Primary practice location

117 S Carroll Rd
Villa Rica, GA 30180-2729

Mailing address

117 S Carroll Rd
Villa Rica, GA 30180-2729
Phone (770) 459-8439

Other names 1

  • Villa Rica Chiropractic Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100518000420 GA Part B Supplier - Clinic/Group Practice 3274662960 Receives reassigned benefits from 2 practitioners
Practice locations: Villa Rica, GA

National Provider Directory

National Provider Directory

Locations

117 S Carroll Rd
Villa Rica, GA 30180
Phone (770) 459-8439

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": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1124350665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S CARROLL RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802729",
            "telephone_number": "770-459-8439",
            "fax_number": "770-459-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S CARROLL RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802729",
            "telephone_number": "770-459-8439",
            "fax_number": "770-459-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE A. FORD DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-459-8439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Rica Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.