Individual provider Active NPI

Gregory Bart Wetherington, D.C.

  • Chiropractor
  • Savannah, GA
National Provider Identifier
1083782049
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007039 Issued in GA
Practice address
5602 Waters Ave
B
Savannah, GA 31404-6296
Phone
(912) 351-0005
Fax
(912) 351-0007
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007039 GA Primary

Addresses

Primary practice location

5602 Waters Ave
B
Savannah, GA 31404-6296

Mailing address

5602 Waters Ave
B
Savannah, GA 31404-6296
Phone (912) 351-0005

Other identifiers 1

IdentifierTypeStateIssuer
582665170OtherGATAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140606001136 GA Practitioner - Chiropractic 9739303066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

329 Eisenhower Dr
Suite D
Savannah, GA 31406-2695
Phone (912) 351-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR007039GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Healthcare, LLC CurrentSince Dec 29, 2018 Accepting new patients
Wetherington Chiropractic Clinic Chiropractor CurrentSince Jun 9, 2014 Accepting new patients
Advanced Prosthetics and Orthotics Past Accepting new patients

Locations

5602 Waters Ave
Savannah, GA 31404
Phone (912) 351-0005

5602 Waters Ave
Ste B
Savannah, GA 31404
Phone (912) 351-0005

329 Eisenhower Dr
Ste D
Savannah, GA 31406
Phone (912) 351-0005

5602 Waters Ave
#B
Savannah, GA 31404
Phone (912) 351-0005

Interoperability endpoints

  • Direct secure messaging: sfields@wcc0009.direct.chirotouch.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1083782049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 WATERS AVE",
            "address_2": "B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046296",
            "telephone_number": "912-351-0005",
            "fax_number": "912-351-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 WATERS AVE",
            "address_2": "B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046296",
            "telephone_number": "912-351-0005",
            "fax_number": "912-351-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHERINGTON",
        "first_name": "GREGORY",
        "middle_name": "BART",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "582665170",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.