Timothy Scott Manis, DC
Individual provider Active NPI Chiropractor · Dalton, GA
NPI 1023090933 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1023090933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIR008976 (GA)
- Practice address
- 1508 N Thornton Ave Ste 104
Dalton, GA 30720-8516 - Phone
- (706) 279-9295
- Fax
- (706) 279-9296
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1508 N Thornton Ave
Suite 104
Dalton, GA 30720-8516
Phone (706) 279-9295
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121130000074 | GA | Practitioner - Chiropractic | 3476531658 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR008976 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calhoun Spinal Associates | Current |
Accepting new patients | |
| Back2Health, LLC | Chiropractor | Past |
Accepting new patients |
| Back2Health - French Lick, LLC | Chiropractor | Past | Accepting new patients |
Locations
1012 S Wall St
Ste A
Calhoun, GA 30701
Phone (706) 624-0200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008976 | GA | Yes |
Addresses
Primary practice location
1508 N Thornton Ave Ste 104
Dalton, GA 30720-8516
Mailing address
1508 N Thornton Ave Ste 104
Dalton, GA 30720-8516
Phone (706) 279-9295
NPI Registry JSON
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1023090933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 N THORNTON AVE STE 104",
"city": "DALTON",
"state": "GA",
"postal_code": "307208516",
"telephone_number": "706-279-9295",
"fax_number": "706-279-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 N THORNTON AVE STE 104",
"city": "DALTON",
"state": "GA",
"postal_code": "307208516",
"telephone_number": "706-279-9295",
"fax_number": "706-279-9296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANIS",
"first_name": "TIMOTHY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2025. 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.