Individual provider Active NPI

Emma Parris Hickman, DC

  • Pediatric Chiropractor
  • Richmond Hill, GA
National Provider Identifier
1235910522
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
CHIR011043 Issued in GA
Practice address
100 Timber Trail Rd Ste 203
Richmond Hill, GA 31324-9430
Phone
(912) 643-2077
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X CHIR011043 GA Primary

Addresses

Primary practice location

100 Timber Trail Rd Ste 203
Richmond Hill, GA 31324-9430

Mailing address

316 Lakeshore Dr
Savannah, GA 31419-9440
Phone (336) 413-5949

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

LicenseStateTypeSpecialty
CHIR011043GAMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Chiropractic and Family Wellness CurrentSince Dec 10, 2023 Accepting new patients

Locations

100 Timber Trail Rd
Ste 203
Richmond Hill, GA 31324
Phone (912) 643-2077

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1235910522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 LAKESHORE DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199440",
            "telephone_number": "336-413-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TIMBER TRAIL RD STE 203",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313249430",
            "telephone_number": "912-643-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "EMMA",
        "middle_name": "PARRIS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "GA",
            "license": "CHIR011043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.