Lauren J Panzarella, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO10385 Issued in GA

Practice address

96 Lakeshore Dr Ste B
Saint Marys, GA 31558-3858

Phone

(912) 510-9355

Fax

(912) 439-3135

NPI assigned

Mar 11, 2013

Last updated

Jul 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lauren Justine Panzarella Preis Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Well Adjusted Chiropractic, Inc.

  • Chiropractor
  • Kingsland, GA
  • NPI 1114253119
  Medicare reassignment NPD
• Bartram Chiropractic Inc

  • Chiropractor
  • Jacksonville, FL
  • NPI 1871244178
  NPD
• Family Health Chiropractic

  • Sports Physician Chiropractor
  • Brunswick, GA
  • NPI 1598952384
  NPD (past)
• Trinity Family Chiropractic and Wellness Center LLC

  • Chiropractor
  • Daytona Beach Shores, FL
  • NPI 1790028645
  NPD (past)

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1063753432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 LAKESHORE DR STE B",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583858",
            "telephone_number": "912-510-9355",
            "fax_number": "912-439-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 LAKESHORE DR STE B",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583858",
            "telephone_number": "912-510-9355",
            "fax_number": "912-439-3135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13720 Old Saint Augustine Rd",
            "address_2": "4",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322587414",
            "country_code": "US",
            "telephone_number": "904-268-9100",
            "fax_number": "904-268-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANZARELLA",
        "first_name": "LAUREN",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10846",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO10385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "PREIS",
            "middle_name": "JUSTINE PANZARELLA",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Philip Matthew Oconnell, MD
• Open MRI of Camden LLC (Open MRI of CaMden)
• Optical Illusions, PC (Vision Source Partners)
• Sean Christopher Orr, M.D.
• P L Hooton DMD PC (Camden Dental Care)
• Livio Federico Pardi, MD
• Jennifer Parham, RN
• Edward Sidney Parker Jr., DMD
• Stephanie Delphine Parris, P.A.-C
• Pauline L. Jacinto MD

• Chiropractor in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.