Coastal Chiropractic and Family Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COASTAL CHIROPRACTIC AND FAMILY WELLNESS

Practice address

100 Timber Trail Rd Ste 203
Richmond Hill, GA 31324-9430

Phone

(912) 643-2077

NPI assigned

Dec 4, 2023

Last updated

Dec 4, 2023By 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

Emma Parris Hickman, DCNPI 1235910522

Title

Doctor of Chiropractic

Phone

(336) 413-5949

Specialties & licenses 1

Addresses

Locations

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.

• Emma Parris Hickman, DC

  • Pediatric Chiropractor
  • Richmond Hill, GA
  • NPI 1235910522
  NPD Authorized official

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1669248373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 LAKESHORE DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199440",
            "telephone_number": "336-413-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TIMBER TRAIL RD STE 203",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313249430",
            "telephone_number": "912-643-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CHIROPRACTIC AND FAMILY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "PARRIS",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "336-413-5949",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna David Clack, PT, DPT
• Melody Faith Clark
• Riley Ann Clay
• Jennifer Jean Clements, M.D.
• Kinsley M Clements, RBT
• Coastal Community Health Services, Inc.
• Coastal Pediatric Dentistry LLC
• Coastal Primary Care, LLC
• Coastal Therapeutic Effect, LLC
• Donald Keith Cobb, MD

• Clinic/Center in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.