Active NPI
Jeff M Appelbaum, D.C.
- Chiropractor
- Summerville, GA
National Provider Identifier
1104826270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5840
- Practice address
- 74 Highway 48
Summerville, GA 30747-1512 - Phone
- (706) 857-4911
- Fax
- (706) 857-6560
- NPI assigned
- Jul 29, 2005
- Last updated
- Aug 21, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5840 | GA | Primary |
Addresses
Primary practice location
74 Highway 48
Summerville, GA 30747-1512
Mailing address
74 Highway 48
P.O. Box 424
Summerville, GA 30747-1512
Phone (706) 857-4911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00806264A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
74 Hwy 48
Summerville, GA 30747-1512
Phone (706) 857-4911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5840 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summerville Chiropractic, Inc. | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Summerville, GA
- NPI 1336339076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1104826270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 HIGHWAY 48",
"address_2": "P.O. BOX 424",
"city": "SUMMERVILLE",
"state": "GA",
"postal_code": "307471512",
"telephone_number": "706-857-4911",
"fax_number": "706-857-6560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 HIGHWAY 48",
"city": "SUMMERVILLE",
"state": "GA",
"postal_code": "307471512",
"telephone_number": "706-857-4911",
"fax_number": "706-857-6560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPELBAUM",
"first_name": "JEFF",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "5840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00806264A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, GA
- Adventist Health System Georgia Inc (AdventHealth Summerville Clinic)
- James Allie, PT
- Amedisys Georgia LLC (North Georgia Home Health Agency an Amedisys Company)
- Kristin Sue Anderson-Taylor, P.A.
- Linda Reeves Ballenger, L.D.O.
- Aimee Barron
- Big B Drugs Inc (CVS Pharmacy)
- Bio-Medical Applications of Georgia, Inc. (Fresenius Kidney Care Chattooga County)
- Lisa Diane Branch
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.