Organization Active NPI

Rincon Chiropractic PC

  • Chiropractor
  • Rincon, GA
National Provider Identifier
1083770846
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5633 Issued in GA
Legal business name
RINCON CHIROPRACTIC PC
Practice address
5779 Hwy 21 S
Rincon, GA 31326-5554
Phone
(912) 826-4490
Fax
(912) 826-2844
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Dr. Marc Steven Schnobrich, DCNPI 1639237480
Title
Chiropractor
Phone
(912) 826-4490

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 5633 GA Primary

Addresses

Primary practice location

5779 Hwy 21 S
Rincon, GA 31326-5554

Mailing address

PO Box 752
5779 Hwy 21S
Rincon, GA 31326-0752
Phone (912) 826-4490

Other identifiers 1

IdentifierTypeStateIssuer
00807067AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080701000003 GA Part B Supplier - Clinic/Group Practice 5496849929 Receives reassigned benefits from 1 practitioner
Practice locations: Rincon, GA

National Provider Directory

National Provider Directory

Locations

5779 Highway 21 S
Rincon, GA 31326
Phone (912) 826-4490

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1083770846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752",
            "address_2": "5779 HWY 21S",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313260752",
            "telephone_number": "912-826-4490",
            "fax_number": "912-826-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5779 HWY 21 S",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265554",
            "telephone_number": "912-826-4490",
            "fax_number": "912-826-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINCON CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "SCHNOBRICH",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "912-826-4490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00807067A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.