Active NPI
Jennifer Hawk Wiley, DC
- Chiropractor
- Hoschton, GA
National Provider Identifier
1235140773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007241
- Practice address
- 117 Bell Avenue
Hoschton, GA 30548 - Phone
- (706) 654-2155
- Fax
- (706) 654-2171
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR007241 | GA | Primary |
Addresses
Primary practice location
117 Bell Avenue
Hoschton, GA 30548
Mailing address
PO Box 813
Braselton, GA 30517-0014
Phone (706) 654-2155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR007241 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235140773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 813",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305170014",
"telephone_number": "706-654-2155",
"fax_number": "706-654-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 BELL AVENUE",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "30548",
"telephone_number": "706-654-2155",
"fax_number": "706-654-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "JENNIFER",
"middle_name": "HAWK",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoschton, GA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.