Individual provider Active NPI

James Michael Beres II, D.C.

  • Chiropractor
  • Columbus, GA
National Provider Identifier
1043539166
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
008678 Issued in GA
Practice address
2320 Double Churches Rd Ste B
Columbus, GA 31909-2662
Phone
(706) 596-7220
Fax
(706) 596-7221
NPI assigned
May 28, 2010
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 008678 GA Primary

Addresses

Primary practice location

2320 Double Churches Rd Ste B
Columbus, GA 31909-2662

Mailing address

2320 Double Churches Rd Ste B
Columbus, GA 31909-2662
Phone (706) 596-7220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117000098 GA Practitioner - Chiropractic 2163617069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2320 Double Churches Rd
Suite B
Columbus, GA 31909-2662
Phone (706) 596-7220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beres Chiropractic Center, Inc Chiropractor CurrentSince Jun 20, 2011 Accepting new patients
Davis Chiropractic Center Inc Chiropractor PastSince Jan 22, 2022 Accepting new patients

Locations

2263 Brookstone Centre Pkwy
Ste B
Columbus, GA 31904
Phone (706) 596-7220

2320 Double Churches Rd
Ste B
Columbus, GA 31909
Phone (706) 596-7220

Organizations & group practices 2

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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1043539166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 DOUBLE CHURCHES RD STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092662",
            "telephone_number": "706-596-7220",
            "fax_number": "706-596-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 DOUBLE CHURCHES RD STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092662",
            "telephone_number": "706-596-7220",
            "fax_number": "706-596-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERES",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "008678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.