Pidcock Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005627 Issued in GA

Legal business name

PIDCOCK CHIROPRACTIC, INC.

Practice address

3028 Peach Orchard Rd.
Augusta, GA 30906

Phone

(706) 798-8980

Fax

(706) 798-5650

NPI assigned

Jan 20, 2011

Last updated

Mar 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott J. Pidcock, DCNPI 1972661288

Title

Owner/Operator

Phone

(706) 798-8980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott J. Pidcock, D.C.

  • Chiropractor
  • Augusta, GA
  • NPI 1972661288
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1265737423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 PEACH ORCHARD RD.",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30906",
            "telephone_number": "706-798-8980",
            "fax_number": "706-798-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 PEACH ORCHARD RD.",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30906",
            "telephone_number": "706-798-8980",
            "fax_number": "706-798-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIDCOCK CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "PIDCOCK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "706-798-8980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "005627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians United Urgent Care
• Physiotherapy Associates Inc
• Charlton Judson Pickett, M.D.
• Genniffer Pickett
• Jacquelina Deanna Pickett, LMSW
• Scott J. Pidcock, D.C.
• Briggitte Pierce, LPN
• Debra Lynn Pierce, PH.D.
• Larry H. Pierce, M.D.
• Guillermo Joaquin Pierluisi, MD MPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.