Angelic J Prather, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009556 Issued in GA

Practice address

1619 Highway 19 N
Thomaston, GA 30286-2277

Phone

(678) 432-4755

Fax

(678) 432-4753

NPI assigned

Aug 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Fuller Life Chiropractic Center

  • Chiropractor
  • Thomaston, GA
  • NPI 1356487367
  NPD (past)
• Mary E Watkins DC PC

  • Chiropractor
  • Gainesville, GA
  • NPI 1134294044
  NPD (past)

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1003282849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "318160307",
            "telephone_number": "678-432-4755",
            "fax_number": "678-432-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 HIGHWAY 19 N",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862277",
            "telephone_number": "678-432-4755",
            "fax_number": "678-432-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "ANGELIC",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CHIR009556",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Brooke Peyton
• Brandy Pfeiffer
• Melanie Robin Phillips, PHARMD
• Andrea Ruth Pinnow, MSW, LCSW
• Practice Equity, LLC
• Providence Health and Rehabilitation Center, Inc.
• Providence Post Acute LLC
• Providence SNF Operator LLC
• Kendra Latrice Raines, APRN
• Rayneb Medical

• All providers in Thomaston, GA
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.