Organization Active NPI

Thigpen Chiropractic, LLC

  • Chiropractor
  • Augusta, GA
National Provider Identifier
1063186708
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THIGPEN CHIROPRACTIC, LLC
Practice address
3520 Walton Way Ext Ste 1a
Augusta, GA 30909-6591
Phone
(706) 917-3169
NPI assigned
Aug 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Beau Edwin Thigpen, D.C., B.C.A.O.NPI 1609913698
Title
Owner
Phone
(404) 394-2191

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3520 Walton Way Ext Ste 1a
Augusta, GA 30909-6591

Mailing address

3520 Walton Way Ext Ste 1a
Augusta, GA 30909-6591
Phone (706) 917-3169

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210824003381 GA Part B Supplier - Clinic/Group Practice 1850796103 Receives reassigned benefits from 5 practitioners
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

Locations

3520 Walton Way Ext
Ste 1A
Augusta, GA 30909
Phone (404) 394-2191

3520 Walton Way Ext
Ste A
Augusta, GA 30909

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1063186708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 WALTON WAY EXT STE 1A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096591",
            "telephone_number": "706-917-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 WALTON WAY EXT STE 1A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096591",
            "telephone_number": "706-917-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIGPEN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "THIGPEN",
        "authorized_official_first_name": "BEAU",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-394-2191",
        "authorized_official_credential": "D.C., B.C.A.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.