Orville Stuckey Jr., D.O

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007582 Issued in GA

Practice address

2557 Highway 76
Chatsworth, GA 30705-7311

Phone

(706) 517-0419

Fax

(706) 517-0420

NPI assigned

Jan 23, 2007

Last updated

Aug 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Stuckey Clinic of Chiropractic

  • Chiropractor
  • Chatsworth, GA
  • NPI 1699938514
  Medicare reassignment NPD Authorized official
• Bearden Chiropractic Center

  dba mannella chiropractic, p.c.

  • Chiropractor
  • Eastman, GA
  • NPI 1154499101
  NPD (past)
• Bearden Chiropractic Center

  • Chiropractor
  • Eastman, GA
  • NPI 1639348600
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1033263314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 HIGHWAY 76",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307057311",
            "telephone_number": "706-517-0419",
            "fax_number": "706-517-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 HIGHWAY 76",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307057311",
            "telephone_number": "706-517-0419",
            "fax_number": "706-517-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "ORVILLE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hair Smith
• Michael Allen Spandau, CSFA
• Victorria Faith Stafford Lovain, CSFA
• Randall K. Stinson, PA
• Stuckey Clinic of Chiropractic
• Evan Suddeth, PT, DPT
• Melissa A Sutton, MSN, APRN, FNP-C
• Michael Caleb Swindell, MD
• Edwin Tom Taylor, MD, FAAP
• Kayla Taylor, LPN

• Chiropractor in Chatsworth, GA
• Providers in Chatsworth, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.