Pridgen Chiropractic & Wellness Center PC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

1133 Issued in GA

Legal business name

PRIDGEN CHIROPRACTIC & WELLNESS CENTER PC

Practice address

3338 Country Club Rd
Buldg F Ste3
Valdosta, GA 31605-1044

Phone

(229) 244-5314

NPI assigned

Jun 5, 2007

Last updated

Aug 22, 2020By 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. Leo David Pridgen Jr., DCNPI 1447473764

Title

President

Phone

(229) 244-5314

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Leo David Pridgen Jr., CHIORPRACTIC

  • Rehabilitation Chiropractor
  • Valdosta, GA
  • NPI 1447473764
  Authorized official Same address or phone

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124220512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 COUNTRY CLUB RD",
            "address_2": "BLDG F STE3",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051044",
            "telephone_number": "229-244-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 COUNTRY CLUB RD",
            "address_2": "BULDG F STE3",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051044",
            "telephone_number": "229-244-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDGEN CHIROPRACTIC & WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-244-5314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "1133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Georgia Medical PC (My Health Center at Lowe's Valdosta)
• Catherine Ann Price, PMHNP-BC
• Jennifer Paige Price, PHARMD
• Kayla Marie Neely Price
• Spencer Price, MD
• Leo David Pridgen Jr., CHIORPRACTIC
• Wanda Pritchett
• Private Healthcare Facilities
• Pro-Active Physical Therapy and Diagnostics
• Pruitthealth - Crestwood, LLC

• Rehabilitation Chiropractor in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.