Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendra Nickerson

Individual provider Chiropractor · NPI 1992502397

Kendra Nickerson is a Chiropractic in Peachtree City, Georgia. Qualified in 2023, 3 years ago. Practices with Fuller Life Chiropractic Center PC, a 5-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2025

Practice location Address checks out

40 Eastbrook Bnd Ste C
Peachtree City, GA 30269-1567
Phone: (770) 487-9898
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIR011121 (GA)

Record details

NPI number1992502397
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedFebruary 25, 2025
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fuller Life Chiropractic Center Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Peachtree City