Kenneth Lee Flint, D.C.
Individual provider Active NPI Chiropractor · Commerce, GA
NPI 1013014075 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013014075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4746 (GA)
- Practice address
- 2331 N Elm St
Commerce, GA 30529-2243 - Phone
- (706) 335-6026
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080422000628 | GA | Practitioner - Chiropractic | 7416035050 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4746 | GA | MD | Chiropractor |
Practice roles (3 of 14)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commerce Spinal Center,P.C. | Chiropractor | Current |
Accepting new patients |
| Flint Family Healthcare Inc | Current | Accepting new patients | |
| Commerce Spinal Center, PC | Chiropractor | Current | Accepting new patients |
Locations
2331 N Elm St
Commerce, GA 30529
Phone (706) 335-6025
Networks
- AL HMO D-SNP
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- AL HMO
- FL HMO D-SNP
- FL HMO C-SNP
- FL HMO
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- TN PPO
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- TN PPO C-SNP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4746 | GA | Yes |
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
Other providers in Commerce, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.