Individual provider Active NPI

Brandi Erickson, D.C.

  • Chiropractor
  • Athens, GA
National Provider Identifier
1508212754
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008299 Issued in GA
Practice address
650 Oglethorpe Ave
Suite 2
Athens, GA 30606-2216
Phone
(706) 353-7778
Fax
(706) 369-8881
NPI assigned
May 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008299 GA Primary

Addresses

Primary practice location

650 Oglethorpe Ave
Suite 2
Athens, GA 30606-2216

Mailing address

PO Box 7787
Athens, GA 30604-7787
Phone (706) 353-7778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161027002142 GA Practitioner - Chiropractic 6002194917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erickson Chiropractic Office, P.C.Group PAC ID 6002916731, 2 clinicians

Practice addresses (Care Compare)

650 Oglethorpe Ave
Suite 4
Athens, GA 30606-2216
Phone (706) 353-7778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008299GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Chiropractic Office, P.C. Chiropractor CurrentSince Oct 7, 2016 Accepting new patients

Locations

650 Oglethorpe Ave
Ste 4
Athens, GA 30606
Phone (706) 353-7778

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": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1508212754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7787",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306047787",
            "telephone_number": "706-353-7778",
            "fax_number": "706-369-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 OGLETHORPE AVE",
            "address_2": "SUITE 2",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062216",
            "telephone_number": "706-353-7778",
            "fax_number": "706-369-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "BRANDI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.