Individual provider Active NPI

Jonathan A Jewett, D.C.

  • Chiropractor
  • Savannah, GA
National Provider Identifier
1104992551
Registry record updated Apr 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007865 Issued in GA
Practice address
1808 Abercorn St
Savannah, GA 31401-8143
Phone
(912) 650-3168
NPI assigned
Nov 28, 2006
Last updated
Apr 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007865 GA Primary

Addresses

Primary practice location

1808 Abercorn St
Savannah, GA 31401-8143

Mailing address

463 Pooler Pkwy 218
Pooler, GA 31322-5102
Phone (912) 691-0111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000053 GA Practitioner - Chiropractic 0446270185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Chiropractic IncGroup PAC ID 4183644826, 2 clinicians

Practice addresses (Care Compare)

1011 Towne Ctr Blvd
Suite 103
Pooler, GA 31322-5103
Phone (912) 691-0111

1510 Drayton St
Savannah, GA 31401-7334
Phone (912) 650-3168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Chiropractic Inc Chiropractor CurrentSince Aug 22, 2005 Accepting new patients
Dynamic Spine and Rehab, LLC Chiropractor Past Accepting new patients
Linker Health and Wellness Chiropractor Past Accepting new patients

Locations

1011 Towne Center Blvd
Ste 103
Pooler, GA 31322
Phone (912) 691-0111

118 Pipemakers Cir
Ste 105
Pooler, GA 31322
Phone (912) 691-0111

463 Pooler Pkwy
Pooler, GA 31322
Phone (843) 545-0076

1510 Drayton St
Savannah, GA 31401
Phone (912) 600-2866

1808 Abercorn St
Savannah, GA 31401
Phone (912) 650-3168

7205 Hodgson Memorial Dr
Savannah, GA 31406
Phone (912) 200-3219

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491696000000",
    "number": "1104992551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 POOLER PKWY 218",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313225102",
            "telephone_number": "912-691-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314018143",
            "telephone_number": "912-650-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWETT",
        "first_name": "JONATHAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2017; 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.