Individual provider Active NPI

Rhonda Williams

  • Rehabilitation Chiropractor
  • Morrow, GA
National Provider Identifier
1063904340
Registry record updated Jun 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CHIR010046 Issued in GA
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

Updated by the provider on Jun 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250703003393 LA Practitioner - Chiropractic 9638683451 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1912LAMDAddiction (Substance Use Disorder) Psychologist
CHIR010046GAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dickinson Chiropractic LLC CurrentSince May 1, 2025 Accepting new patients
Total Care Medical Center of Southeast Louisiana, Inc. PastSince May 1, 2025 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.

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.

Verify at the official NPI Registry.