Individual provider Active NPI

Galen B Hoover, D.C.

  • Chiropractor
  • McDonough, GA
National Provider Identifier
1023178183
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5146 Issued in GA
Practice address
130 John Frank Ward Blvd
McDonough, GA 30253-3207
Phone
(770) 957-4165
Fax
(770) 957-2003
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5146 GA Primary

Addresses

Primary practice location

130 John Frank Ward Blvd
McDonough, GA 30253-3207

Mailing address

130 John Frank Ward Blvd
McDonough, GA 30253-3207
Phone (770) 957-4165

Other identifiers 1

IdentifierTypeStateIssuer
P00072042OtherGARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000167 GA Practitioner - Chiropractic 8921090838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Care Chiropractic Center PCGroup PAC ID 6507858404, 3 clinicians

Practice addresses (Care Compare)

130 John Frank Ward Blvd
McDonough, GA 30253-3207
Phone (770) 957-4165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5146GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Care Chiropractic Center, P.C. Chiropractor CurrentSince Jan 1, 2004 Accepting new patients

Locations

130 John Frank Ward Blvd
McDonough, GA 30253
Phone (770) 957-4165

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023178183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 JOHN FRANK WARD BLVD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533207",
            "telephone_number": "770-957-4165",
            "fax_number": "770-957-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JOHN FRANK WARD BLVD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533207",
            "telephone_number": "770-957-4165",
            "fax_number": "770-957-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "GALEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00072042",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

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.

Verify at the official NPI Registry.