Organization Active NPI

Hickox Chiropractic and Massage,LLC

  • Chiropractor
  • Valdosta, GA
National Provider Identifier
1801204839
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
008913 Issued in GA
Legal business name
HICKOX CHIROPRACTIC AND MASSAGE,LLC
Practice address
2717 Windemere Drive Suite E
Valdosta, GA 31602
Phone
(229) 293-1333
Fax
(229) 242-0007
NPI assigned
Jul 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
John Brian Hickox, DC
Title
Owner
Phone
(229) 293-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 008913 GA Primary

Addresses

Primary practice location

2717 Windemere Drive Suite E
Valdosta, GA 31602

Mailing address

2717 Windemere Drive Suite E
Valdosta, GA 31602
Phone (229) 293-1333

National Provider Directory

National Provider Directory

Locations

2717 Windemere Dr
Valdosta, GA 31602
Phone (229) 293-1333

2717 Windemere Dr
Ste E
Valdosta, GA 31602
Phone (229) 244-1667

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1801204839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 WINDEMERE DRIVE SUITE E",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-293-1333",
            "fax_number": "229-242-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 WINDEMERE DRIVE SUITE E",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-293-1333",
            "fax_number": "229-242-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKOX CHIROPRACTIC AND MASSAGE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "HICKOX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-293-1333",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "008913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.