Individual provider Active NPI

Heidi Marie Reuschling, DC

  • Chiropractor
  • Vidalia, GA
National Provider Identifier
1023259876
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008450 Issued in GA
Practice address
511 Church St
Vidalia, GA 30474-4738
Phone
(912) 538-0708
Fax
(912) 538-8318
NPI assigned
Mar 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008450 GA Primary

Addresses

Primary practice location

511 Church St
Vidalia, GA 30474-4738

Mailing address

511 Church St
Vidalia, GA 30474-4738
Phone (912) 585-7124

Other practice location 1

362 S Main St Ste A
Baxley, GA 31513-0187
Phone (912) 705-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1236384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1023259876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 CHURCH ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744738",
            "telephone_number": "912-585-7124",
            "fax_number": "912-538-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 CHURCH ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744738",
            "telephone_number": "912-538-0708",
            "fax_number": "912-538-8318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "362 S Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Baxley",
            "state": "GA",
            "postal_code": "315130187",
            "country_code": "US",
            "telephone_number": "912-705-4321",
            "fax_number": "912-705-4322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REUSCHLING",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-07",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.