Active NPI
Rhonda Williams
- Rehabilitation Chiropractor
- Morrow, GA
National Provider Identifier
1063904340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CHIR010046
- Practice address
- 1544 Southlake Pkwy Ste 9D
Morrow, GA 30260-3025 - Phone
- (470) 868-0696
- NPI assigned
- Jun 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CHIR010046 | GA | Primary |
Addresses
Primary practice location
1544 Southlake Pkwy Ste 9D
Morrow, GA 30260-3025
Mailing address
2089 Lake Park Dr SE Apt M
Smyrna, GA 30080-7655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1912 | LA | MD | Addiction (Substance Use Disorder) Psychologist |
| CHIR010046 | GA | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickinson Chiropractic LLC | Current | Accepting new patients | |
| Total Care Medical Center of Southeast Louisiana, Inc. | Past | Accepting new patients |
Locations
516 N Range Ave
Denham Springs, LA 70726
Phone (225) 665-3969
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 and National Provider Directory roles.
-
- Clinic/Center
- Denham Springs, LA
- NPI 1083338206
-
- Chiropractor
- Donaldsonville, LA
- NPI 1881839876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527984000000",
"number": "1063904340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2089 LAKE PARK DR SE APT M",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300807655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 SOUTHLAKE PKWY STE 9D",
"city": "MORROW",
"state": "GA",
"postal_code": "302603025",
"telephone_number": "470-868-0696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RHONDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-03",
"last_updated": "2018-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "CHIR010046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morrow, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; 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.