Organization Active NPI

Hamby Chiropractic & Wellness,LTD.

  • Chiropractor
  • Rincon, GA
National Provider Identifier
1083993422
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2718 Issued in GA
Legal business name
HAMBY CHIROPRACTIC & WELLNESS,LTD.
Practice address
115 East 5TH Street
Rincon, GA 31326
Phone
(912) 826-4444
Fax
(912) 826-4445
NPI assigned
Aug 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Dr. Matthew W. Hamby, D.C.NPI 1982708285
Title
Owner/Doctor
Phone
(912) 826-4444

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 2718 GA Primary

Addresses

Primary practice location

115 East 5TH Street
Rincon, GA 31326

Mailing address

P.O. Box 643
115 East 5TH Street
Rincon, GA 31326
Phone (912) 826-4444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110829000660 GA Part B Supplier - Clinic/Group Practice 0941470074 Receives reassigned benefits from 1 practitioner
Practice locations: Rincon, GA

National Provider Directory

National Provider Directory

Locations

115 E 5th St
Rincon, GA 31326
Phone (912) 826-4444

Practitioners & affiliated clinicians

Practitioners 1

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": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1083993422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 643",
            "address_2": "115 EAST 5TH STREET",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "31326",
            "telephone_number": "912-826-4444",
            "fax_number": "912-826-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAST 5TH STREET",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "31326",
            "telephone_number": "912-826-4444",
            "fax_number": "912-826-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMBY CHIROPRACTIC & WELLNESS,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "HAMBY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "912-826-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2718",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 16, 2011; 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.