Organization Active NPI

Urban Family Chiropractic Life Ctr

  • Chiropractor
  • Garden City, GA
National Provider Identifier
1104046044
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO05811 Issued in GA
Legal business name
URBAN FAMILY CHIROPRACTIC LIFE CTR
Practice address
10 Harrell Drive
Garden City, GA 31408
Phone
(912) 963-6711
Fax
(912) 963-6713
NPI assigned
Apr 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Connie D Singleton, DCNPI 1639345663
Title
Doctor
Phone
(912) 963-6711

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO05449 GA
Chiropractor 111N00000X 1934 SC
Chiropractor 111N00000X CHIRO05811 GA Primary

Addresses

Primary practice location

10 Harrell Drive
Garden City, GA 31408

Mailing address

PO Box 23196
Savannah, GA 31403
Phone (912) 963-6711

National Provider Directory

National Provider Directory

Locations

10 Harrell Dr
Savannah, GA 31408
Phone (912) 963-6711

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104046044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23196",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31403",
            "telephone_number": "912-963-6711",
            "fax_number": "912-963-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HARRELL DRIVE",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "31408",
            "telephone_number": "912-963-6711",
            "fax_number": "912-963-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN FAMILY CHIROPRACTIC LIFE CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "912-963-6711",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO05449",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1934",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO05811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.