Active NPI
Kenneth Lee Flint, D.C.
- Chiropractor
- Commerce, GA
National Provider Identifier
1013014075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4746
- Practice address
- 2331 N Elm St
Commerce, GA 30529-2243 - Phone
- (706) 335-6026
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4746 | GA | Primary |
Addresses
Primary practice location
2331 N Elm St
Commerce, GA 30529-2243
Mailing address
PO Box 578
Commerce, GA 30529-0012
Phone (706) 335-6025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2331 N Elm St
Commerce, GA 30529-2243
Phone (706) 335-6025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4746 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flint Family Healthcare Inc | Current | Accepting new patients | |
| Commerce Spinal Center, PC | Chiropractor | Current | Accepting new patients |
| Commerce Spinal Center,P.C. | Chiropractor | Current | Accepting new patients |
Locations
2331 N Elm St
Commerce, GA 30529
Phone (706) 335-6025
Networks
- FL HMO
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- FL HMO D-SNP
- TN PPO C-SNP
- AL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- TN PPO
- FL HMO C-SNP
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Commerce, GA
- NPI 1942309414
-
dba Braselton Chiropractic Center
- Chiropractor
- Braselton, GA
- NPI 1437546538
-
- Family Medicine Physician
- Maysville, GA
- NPI 1013744796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013014075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 578",
"city": "COMMERCE",
"state": "GA",
"postal_code": "305290012",
"telephone_number": "706-335-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2331 N ELM ST",
"city": "COMMERCE",
"state": "GA",
"postal_code": "305292243",
"telephone_number": "706-335-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLINT",
"first_name": "KENNETH",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "4746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commerce, GA
- Evernorth Direct Health LLC
- Every Smile Family Dentistry
- Family First Care of Commerce, LLC
- Family Foot Care Center (Jon T. Middleton, DPM, PC)
- Family Orthopedics, P.C.
- Focus Orthopaedics and Sports Medicine PC
- Tamara Leighann Frazier, PT, DPT
- Rasheeda Japaka Freeman, FNP-C
- Georgia CVS Pharmacy LLC (CVS Pharmacy 05658)
- Georgia Pain and Wellness Center (Summit Spine & Joint Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.