Active NPI
Elliott Marie Hale, D.C.
- Chiropractor
- Woodstock, GA
National Provider Identifier
1073722849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR006637
- Practice address
- 1103 Woodfall CT
Woodstock, GA 30189-6819 - Phone
- (404) 861-5214
- NPI assigned
- May 21, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR0006637 | GA | |
| Independent Medical Examiner Chiropractor | 111NI0013X | CHIR0006637 | GA | |
| Chiropractor | 111N00000X | CHIR006637 | GA | Primary |
Addresses
Primary practice location
1103 Woodfall CT
Woodstock, GA 30189-6819
Mailing address
1210 20TH St S
Ste 200
Birmingham, AL 35205-3899
Phone (470) 385-0420
Other names 1
- Sandra Lynn Earl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR006637 | GA | MD | Chiropractor |
| CHIR0006637 | GA | MD | Independent Medical Examiner Chiropractor |
| 2653 | AL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodling Chiropractic | Chiropractor | Current | Accepting new patients |
| HCC Health Solutions Inc. | Chiropractor | Current | Accepting new patients |
| Health Star Inc | Chiropractor | Past | Accepting new patients |
Locations
249 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 213-0036
2441 Cobbs Ford Rd
Prattville, AL 36066
Phone (334) 491-1111
220 Elba Hwy
Troy, AL 36079
Phone (334) 430-8709
Organizations & group practices 3
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.
-
- Chiropractor
- Prattville, AL
- NPI 1275891152
-
- Chiropractor
- Troy, AL
- NPI 1518010412
-
- Chiropractor
- Prattville, AL
- NPI 1982931499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1073722849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 20TH ST S",
"address_2": "STE 200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352053899",
"telephone_number": "470-385-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 WOODFALL CT",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301896819",
"telephone_number": "404-861-5214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "ELLIOTT",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR0006637",
"primary": false
},
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "GA",
"license": "CHIR0006637",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR006637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "EARL",
"middle_name": "LYNN",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.