Well Adjusted Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008475 Issued in GA

Legal business name

WELL ADJUSTED CHIROPRACTIC, INC.

Practice address

102 Marsh Harbour Pkwy
Suite 102
Kingsland, GA 31548-6754

Phone

(404) 384-2417

NPI assigned

Oct 26, 2009

Last updated

Oct 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nadine Guediri, D.C,

Title

Ceo

Phone

(404) 384-2417

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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.

• Nadine Guediri Funston, D.C.

  • Chiropractor
  • Kingsland, GA
  • NPI 1437485422
  Medicare reassignment NPD
• Lauren J Panzarella, D.C.

  • Chiropractor
  • Saint Marys, GA
  • NPI 1063753432
  Medicare reassignment NPD
• Luanne Hetrick

  • Massage Therapist
  • Saint Marys, GA
  • NPI 1528456001
  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1114253119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MARSH HARBOUR PKWY",
            "address_2": "SUITE 102",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486754",
            "telephone_number": "404-384-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MARSH HARBOUR PKWY",
            "address_2": "SUITE 102",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486754",
            "telephone_number": "404-384-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL ADJUSTED CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "GUEDIRI",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-384-2417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Bennett Walker
• Johndrell S. Walker, C.N.A/M.A.
• Dorilynn Hatchcock Wallach, LPN
• Bryan Charles Weatherspoon, M.D.
• Anthony Arthur Weaver, O.D.
• Melissa Anne White, ARNP-BC
• Audra Whiting, LPN
• Barbara Williams
• Kelvin Tyrone Williams Sr.
• Willis R Keene MD PC

• Chiropractor in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.