Galen Ray Collins, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3181 Issued in NC

Practice address

526 N Broome St
Waxhaw, NC 28173-7376

Phone

(704) 843-5045

Fax

(704) 843-5046

NPI assigned

Dec 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Collins Clinic of Chiropractic & Sports Medicine, P.a.

  • Chiropractor
  • Waxhaw, NC
  • NPI 1982702684
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1104801299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1215",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281731011",
            "telephone_number": "704-843-5045",
            "fax_number": "704-843-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 N BROOME ST",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737376",
            "telephone_number": "704-843-5045",
            "fax_number": "704-843-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "GALEN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "085PW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Cimafonte, LAC
• Alexandra Bryan Cleary
• Robert Colditz
• Kaye Williams Cole
• Collins Clinic of Chiropractic & Sports Medicine, P.a.
• Stephanie Colson
• Lauren Cates Colucci, PT, DPT
• Emily Claire Colvin, OTR/L
• Ashley Loran Conley-Fasone, DMD
• Neha Contractor

• Chiropractor in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.