Organization Active NPI

Restored Wellness, LLC

  • Chiropractor
  • Dublin, GA
National Provider Identifier
1033763453
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RESTORED WELLNESS, LLC
Practice address
214 S Church St
Dublin, GA 31021
Phone
(478) 353-1131
NPI assigned
Jul 25, 2019
Last updated
Nov 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Dr. Rebekah Byxbe Adams, DCNPI 1639605652
Title
Owner
Phone
(478) 353-1131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

214 S Church St
Dublin, GA 31021

Mailing address

214 S Church St
Dublin, GA 31021
Phone (478) 353-1131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190924003154 GA Part B Supplier - Clinic/Group Practice 9830429406 Receives reassigned benefits from 1 practitioner
Practice locations: Dublin, GA

National Provider Directory

National Provider Directory

Locations

2001 Marion St
Dublin, GA 31021
Phone (478) 998-0470

214 S Church St
Dublin, GA 31021
Phone (478) 353-1131

2400 Bellevue Rd
Ste 24B
Dublin, GA 31021
Phone (478) 353-1131

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1033763453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S CHURCH ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-353-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S CHURCH ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-353-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2022-11-16",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "BYXBE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-353-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.