Nicole J Edwards, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008649 Issued in MI

Practice address

3362 Acworth Summit Blvd NW
Acworth, GA 30101-5770

Phone

(678) 996-0373

NPI assigned

Sep 2, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pleasant Chiropractic PC

  • Chiropractor
  • Mt Pleasant, MI
  • NPI 1255826236
  NPD (past)
• Rodnick Chiropractic Consultants PC

  • Chiropractor
  • Midland, MI
  • NPI 1730290891
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1831291566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 PARKWOOD CHASE NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301023472",
            "telephone_number": "989-708-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3362 ACWORTH SUMMIT BLVD NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015770",
            "telephone_number": "678-996-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "NICOLE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008649",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitni Cox Duncanson, BCBA
• Krysten Butler Duren, D.C.
• Kristen Dyer
• Fady G Ebid, DMD
• Darra M Edwards, MA, PHARMD, BCPS
• Tiffany Cecile Edwards
• Elite Glam Society
• Elite Total Wellness, LLC
• Linda Mullin Elkins, D.C.
• Deloris R. Elliott, LISW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.