Individual provider Active NPI

Curt Joseph Blabaum, DC

  • Chiropractor
  • Byron, GA
National Provider Identifier
1043375512
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007601 Issued in GA
Practice address
218 Highway 49 N
Suite C
Byron, GA 31008
Phone
(478) 956-2388
Fax
(478) 956-2389
NPI assigned
Dec 26, 2006
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007601 GA Primary

Addresses

Primary practice location

218 Highway 49 N
Suite C
Byron, GA 31008

Mailing address

218 Highway 49 N
Suite C
Byron, GA 31008
Phone (478) 956-2388

Other identifiers 1

IdentifierTypeStateIssuer
260095070OtherGATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CB Chiro, LLC Chiropractor Current Accepting new patients
Physical Medicine Injury Center, LLC Chiropractor PastSince Aug 7, 2022 Accepting new patients
Complete Back and Body Care, Inc. Past Accepting new patients

Locations

218 GA Highway 49 N
Ste C
Byron, GA 31008
Phone (478) 956-2388

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1043375512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 HIGHWAY 49 N",
            "address_2": "SUITE C",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "31008",
            "telephone_number": "478-956-2388",
            "fax_number": "478-956-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 HIGHWAY 49 N",
            "address_2": "SUITE C",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "31008",
            "telephone_number": "478-956-2388",
            "fax_number": "478-956-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLABAUM",
        "first_name": "CURT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "260095070",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.