Maggie Detrick, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

010667 Issued in GA

Practice address

2125 Pace St
Covington, GA 30014-6659

Phone

(770) 786-2818

Fax

(844) 760-0502

NPI assigned

Dec 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Solid Ground Chiropractic LLC

  • Chiropractor
  • Monroe, GA
  • NPI 1699433524
  Medicare reassignment NPD
• Covington Family Chiropractic LLC

  • Chiropractor
  • Covington, GA
  • NPI 1942602875
  NPD

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1609534171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 PACE ST",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146659",
            "telephone_number": "770-786-2818",
            "fax_number": "844-760-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 PACE ST",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146659",
            "telephone_number": "770-786-2818",
            "fax_number": "844-760-0502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Broad St Ste A300",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "GA",
            "postal_code": "306552598",
            "country_code": "US",
            "telephone_number": "470-980-2447",
            "fax_number": "844-760-0502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DETRICK",
        "first_name": "MAGGIE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "GA",
            "license": "010667",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "010667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Nessell Denton, OTR/L
• Dentures and Family Dentistry
• Chandrika Monique Derricho, LCSW
• Anil J Desai, MD
• Sandra Desilva, CNA
• Kerry G Dewberry, WHNP
• Kenetrias Dickerson
• Dillard Private Home Care L.L.C
• Diventi Counseling LLC
• Dana Dixon

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.