DR. JILL B DICKERSON M.D.
NPI 1497714257
Pediatrics in Newnan, GA

Active since March 21, 2006
10 MARKET SQUARE WAY STE 100, NEWNAN, GA 30265(678) 423-5560(678) 423-5563 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jill B Dickerson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JILL B DICKERSON M.D. (NPI 1497714257) is an individual pediatrics provider in Newnan, Georgia, licensed in Georgia (061061) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1497714257
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JILL B DICKERSONCredential: M.D.
Location Address10 MARKET SQUARE WAY STE 100Newnan, GA 30265-6078
Mailing Address87 Tapestry LnNewnan, GA 30265-5649 · (678) 423-5560 · Fax (678) 423-5563
Fax(678) 423-5563
Sole ProprietorYes
Enumeration DateMarch 21, 2006
Last NPPES UpdateOctober 22, 2012
NPI 1497714257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in GA · 061061
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

10 MARKET SQUARE WAY STE 100, Newnan, GA 30265

Other Identifiers 1

Medicaid182611684AGA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
10 MARKET SQUARE WAY STE 100
NEWNAN, GA 30265
Nurse Practitioner (Pediatrics)
10 MARKET SQUARE WAY STE 100
NEWNAN, GA 30265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Dickerson's NPI number?

The NPI number for Jill Dickerson is 1497714257. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Jill Dickerson located?

Jill Dickerson practices at 10 Market Square Way Ste 100, Newnan, GA 30265. The listed phone number is (678) 423-5560.

What is Jill Dickerson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jill Dickerson was last updated on October 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.