Active NPI
Crowley Chiropractic Clinic, P.C.
- Chiropractor
- Brunswick, GA
National Provider Identifier
1073738522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR005978
- Legal business name
- CROWLEY CHIROPRACTIC CLINIC, P.C.
- Practice address
- 597 Palisade Dr
Brunswick, GA 31523-8208 - Phone
- (912) 265-2129
- Fax
- (912) 265-2605
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tina Louise Crowley, D. C.
- Title
- Chiropractor
- Phone
- (912) 265-2129
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR005978 | GA | Primary |
| Chiropractor | 111N00000X | CHIR006507 | GA |
Addresses
Primary practice location
597 Palisade Dr
Brunswick, GA 31523-8208
Mailing address
597 Palisade Dr
Brunswick, GA 31523-8208
Phone (912) 265-2129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
597 Palisade Dr
Brunswick, GA 31523
Phone (912) 265-2129
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Brunswick, GA
- NPI 1902020696
-
- Chiropractor
- Brunswick, GA
- NPI 1245455088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073738522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "597 PALISADE DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315238208",
"telephone_number": "912-265-2129",
"fax_number": "912-265-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "597 PALISADE DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315238208",
"telephone_number": "912-265-2129",
"fax_number": "912-265-2605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROWLEY CHIROPRACTIC CLINIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CROWLEY",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "912-265-2129",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D. C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR005978",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR006507",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.