NPIMap

Organization Active NPI

Haralson Spinal Clinics,Inc.

  • Chiropractor
  • Bremen, GA
National Provider Identifier
1104988930
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2627 Issued in GA
Legal business name
HARALSON SPINAL CLINICS,INC.
Practice address
507 Alabama Ave S
Bremen, GA 30110-2007
Phone
(770) 537-5555
Fax
(770) 537-0548
NPI assigned
Dec 15, 2006
Last updated
Apr 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Dr. Ralph J Templeton, DCNPI 1558423830
Title
President
Phone
(770) 537-5555

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 2627 GA Primary

Addresses

Primary practice location

507 Alabama Ave S
Bremen, GA 30110-2007

Mailing address

507 Alabama Ave S
Bremen, GA 30110-2007
Phone (770) 537-5555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505001284 GA Part B Supplier - Clinic/Group Practice 2466440599 Receives reassigned benefits from 1 practitioner
Practice locations: Bremen, GA

National Provider Directory

National Provider Directory

Locations

507 Alabama Ave S
Bremen, GA 30110
Phone (770) 537-3303

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1104988930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 ALABAMA AVE S",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102007",
            "telephone_number": "770-537-5555",
            "fax_number": "770-537-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 ALABAMA AVE S",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102007",
            "telephone_number": "770-537-5555",
            "fax_number": "770-537-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARALSON SPINAL CLINICS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "TEMPLETON",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-537-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremen, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.