Individual provider Active NPI

David Lawrence Avard, D.C.

  • Chiropractor
  • Rincon, GA
National Provider Identifier
1043359151
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009195 Issued in GA
Practice address
185 Commercial Dr
Rincon, GA 31326-5469
Phone
(912) 826-5230
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3504 SC
Chiropractor 111N00000X CHIR009195 GA Primary

Addresses

Primary practice location

185 Commercial Dr
Rincon, GA 31326-5469

Mailing address

185 Commercial Dr
Rincon, GA 31326-5469
Phone (912) 826-5230

Other identifiers 4

IdentifierTypeStateIssuer
P712260OtherNHOXFORD HEALTH PLANS
41601OtherNHMATTHEW THORTON
NA1778OtherNHHARVARD PILGRIM
AVAR352479OtherNHANTHEM BCBS OF NH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140508001036 GA Practitioner - Chiropractic 1759303431 Reassigns benefits to 1 organization
Practice locations: Rincon, GA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

185 Commercial Dr
Rincon, GA 31326-5469
Phone (912) 826-5230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3504SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avard Family Chiropractic Chiropractor CurrentSince Jan 1, 2013 Accepting new patients

Locations

185 Commercial Dr
Rincon, GA 31326
Phone (912) 826-5230

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1043359151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 COMMERCIAL DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265469",
            "telephone_number": "912-826-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 COMMERCIAL DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265469",
            "telephone_number": "912-826-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVARD",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3504",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P712260",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MATTHEW THORTON",
            "identifier": "41601",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "NA1778",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS  OF NH",
            "identifier": "AVAR352479",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.