Individual provider Active NPI

Timothy Scott Manis, DC

  • Chiropractor
  • Dalton, GA
National Provider Identifier
1023090933
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008976 Issued in 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
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008976 GA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121130000074 GA Practitioner - Chiropractic 3476531658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008976GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Calhoun Spinal Associates CurrentSince Oct 4, 2012 Accepting new patients
Back2Health, LLC Chiropractor PastSince Jul 1, 2002 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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "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. Last updated by the provider on Jan 13, 2025; 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.

Verify at the official NPI Registry.