Renfred R. Halverson DC., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

GA1742 Issued in GA

Legal business name

RENFRED R. HALVERSON DC., P.C.

Practice address

1510 Newcastle St Ste 200
Brunswick, GA 31520-6825

Phone

(912) 262-9735

Fax

(912) 262-9634

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Ren R Halverson, DCNPI 1194791020

Title

Owner/Administrator

Phone

(912) 262-9735

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Advanced Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ren R Halverson, D.C. P.C.

  • Chiropractor
  • Brunswick, GA
  • NPI 1194791020
  Medicare reassignment Authorized official
• Tilene Figeroa, D.C

  • Chiropractor
  • Brunswick, GA
  • NPI 1508252370
  Medicare reassignment NPD
• Rebecca Dawn Lapham, D.C.

  • Chiropractor
  • Brunswick, GA
  • NPI 1861706293
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1043324296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 NEWCASTLE ST STE 200",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206825",
            "telephone_number": "912-262-9735",
            "fax_number": "912-262-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 NEWCASTLE ST STE 200",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206825",
            "telephone_number": "912-262-9735",
            "fax_number": "912-262-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENFRED R. HALVERSON DC., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "HALVERSON",
        "authorized_official_first_name": "REN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "912-262-9735",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO01742",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "GA1742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1043324296",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN #",
            "identifier": "GRP7792",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Red River Healthcare Services LLC
• Red River Homecare of the Golden Isles
• Johnnie Reed
• Regal Anesthesia, LLC
• Alexandra Reichenberg, DPT
• Rena Burlingame Rengo, MD
• John R Rentz, MD
• Turner W. Rentz Jr., M.D.
• Renue Plastic Surgery, LLC
• Renue Surgery Center LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.