Willicia A Dickinson

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

LC000206 Issued in GA

Practice address

1301 Green Street, Suite 100a
Augusta, GA 30901

Phone

(706) 910-0132

Fax

(706) 910-0148

NPI assigned

Oct 27, 2021

Last updated

Sep 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Columbia Lactation Care LLC

  • Lactation Consultant (Non-RN)
  • Irmo, SC
  • NPI 1831651587

  Lactation Consultant, Non-RN

  NPD (past)

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1346904125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 GREEN STREET, SUITE 100A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-910-0132",
            "fax_number": "706-910-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 GREEN STREET, SUITE 100A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-910-0132",
            "fax_number": "706-910-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "WILLICIA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "LC000206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew E Dick, M.D.
• Christopher Peyton Dick, MD
• Jeffery Kevin Dickerson, LCSW
• Clinton Donald Dickert, M.D.
• James Michael Dickey, MD
• Meredith Miles Dickson, PHARMD
• Jacob L Didas, NP
• Digestive & Liver Disease Specialists (Digestive Specialists)
• Marcia Digiovanna
• Jessica Dillard-Wright, RN, MSN, CNM

• Lactation Consultant (Non-RN) in Augusta, GA
• Providers in Augusta, GA by specialty
• Lactation Consultant (Non-RN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.