Individual provider Active NPI

Nicole Danielle Hirshowitz, D.C.

  • Chiropractor
  • Cumming, GA
National Provider Identifier
1497293575
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009830 Issued in GA
Practice address
425 Peachtree Pkwy
Cumming, GA 30041-7236
Phone
(678) 756-5439
Fax
(770) 888-1176
NPI assigned
Feb 8, 2017
Last updated
Feb 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009830 GA Primary

Addresses

Primary practice location

425 Peachtree Pkwy
Cumming, GA 30041-7236

Mailing address

425 Peachtree Pkwy
Cumming, GA 30041-7236
Phone (678) 756-5439

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920000502 GA Practitioner - Chiropractic 1759632318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back 2 Back Chiropractic Canton LLC Chiropractor CurrentSince Oct 20, 2025 Accepting new patients

Locations

3422 Sixes Rd
Ste 110
Canton, GA 30114
Phone (770) 213-8890

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1497293575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PEACHTREE PKWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417236",
            "telephone_number": "678-756-5439",
            "fax_number": "770-888-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PEACHTREE PKWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417236",
            "telephone_number": "678-756-5439",
            "fax_number": "770-888-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSHOWITZ",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.