Organization Active NPI

Dynamic Chiropractic Inc

Doing business as Dynamic Spine & Rehab

  • Chiropractor
  • Savannah, GA
National Provider Identifier
1073632501
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007865 Issued in GA
Legal business name
DYNAMIC CHIROPRACTIC INC
Doing business as
Dynamic Spine & Rehab
Practice address
1510 Drayton St
Savannah, GA 31401-7334
Phone
(912) 600-2866
Fax
(912) 208-5064
NPI assigned
Mar 28, 2007
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Dr. Jonathan A Jewett, D.C.NPI 1104992551
Title
President
Phone
(912) 650-3168

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 CHIR007865 GA Primary

Addresses

Primary practice location

1510 Drayton St
Savannah, GA 31401-7334

Mailing address

1011 Towne Center Blvd Ste 103
Pooler, GA 31322-5103
Phone (912) 600-2866

Other names 1

  • Dynamic Spine & Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051128000226 GA Part B Supplier - Clinic/Group Practice 4183644826 Receives reassigned benefits from 2 practitioners
Practice locations: Pooler, GA; Savannah, GA

National Provider Directory

National Provider Directory

Locations

5108 Augusta Rd
Garden City, GA 31408
Phone (912) 777-3737

1011 Towne Center Blvd
Ste 103
Pooler, GA 31322
Phone (912) 691-0111

1510 Drayton St
Savannah, GA 31401
Phone (912) 600-2866

7205 Hodgson Memorial Dr
Savannah, GA 31406
Phone (912) 200-3219

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1073632501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 TOWNE CENTER BLVD STE 103",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313225103",
            "telephone_number": "912-600-2866",
            "fax_number": "912-208-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 DRAYTON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314017334",
            "telephone_number": "912-600-2866",
            "fax_number": "912-208-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "JEWETT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-650-3168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Spine & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.