NPIMap

Organization Active NPI

Yeomans Chiropractic LLC

  • Chiropractor
  • Swainsboro, GA
National Provider Identifier
1093946402
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
008186 Issued in GA
Legal business name
YEOMANS CHIROPRACTIC LLC
Practice address
105 S Circle Dr
Swainsboro, GA 30401-4813
Phone
(478) 289-7778
Fax
(478) 289-7776
NPI assigned
Aug 3, 2009
Last updated
Aug 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Dr. Mark Haddock, DC
Title
Owner
Phone
(478) 289-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 008186 GA Primary

Addresses

Primary practice location

105 S Circle Dr
Swainsboro, GA 30401-4813

Mailing address

105 S Circle Dr
Swainsboro, GA 30401-4813
Phone (478) 289-7778

National Provider Directory

National Provider Directory

Locations

105 S Circle Dr
Swainsboro, GA 30401
Phone (478) 289-7778

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1093946402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S CIRCLE DR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304014813",
            "telephone_number": "478-289-7778",
            "fax_number": "478-289-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S CIRCLE DR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304014813",
            "telephone_number": "478-289-7778",
            "fax_number": "478-289-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEOMANS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "HADDOCK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-289-7778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "008186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swainsboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.