Radney Chiropractic Clinic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO05364 Issued in GA

Legal business name

RADNEY CHIROPRACTIC CLINIC P.C.

Doing business as

Radney Chiropractic Clinic P. C.

Practice address

1711 Telfair St
Dublin, GA 31021-3116

Phone

(478) 272-5505

Fax

(478) 272-0774

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joel Derek Radney, D.C.NPI 1962507475

Title

President

Phone

(478) 272-5505

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Radney Chiropractic Clinic P. C. Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel Derek Radney, DR OF CHIROPRACTIC

  • Chiropractor
  • Dublin, GA
  • NPI 1962507475
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1033312251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 TELFAIR ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213116",
            "telephone_number": "478-272-5505",
            "fax_number": "478-272-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 TELFAIR ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213116",
            "telephone_number": "478-272-5505",
            "fax_number": "478-272-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADNEY CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "RADNEY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-272-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO05364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE NUMBER",
            "identifier": "CHIRO05364",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radney Chiropractic Clinic P. C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Alan Purser, RPH
• Frances C. Purvis, RN
• Farid U Qazi
• Monique Rackley, SOCIAL WORKER
• Radiology Associates of Dublin, LLC
• Joel Derek Radney, DR OF CHIROPRACTIC
• Shana Ragan, RRT
• Zoltan William Rajnay, DDS
• Ramaswamy Mohan Ram, MD
• Erich Graham Randolph, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.