Organization Active NPI

Beth Anne Flack DC PC

  • Pediatric Chiropractor
  • Evans, GA
National Provider Identifier
1124414628
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
CHIR009305 Issued in GA
Legal business name
BETH ANNE FLACK DC PC
Practice address
4246 Washington Rd Ste 6
Evans, GA 30809-3345
Phone
(706) 305-3241
Fax
(706) 733-6018
NPI assigned
Apr 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Dr. Beth Anne Flack, D.C.NPI 1568637585
Title
Owner
Phone
(706) 305-3241

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
Pediatric ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NP0017X CHIR009305 GA Primary

Addresses

Primary practice location

4246 Washington Rd Ste 6
Evans, GA 30809-3345

Mailing address

4246 Washington Rd Ste 6
Evans, GA 30809-3345
Phone (706) 305-3241

Other names 1

  • Flack Family Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beth Anne Flack DC PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1124414628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4246 WASHINGTON RD STE 6",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093345",
            "telephone_number": "706-305-3241",
            "fax_number": "706-229-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4246 WASHINGTON RD STE 6",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093345",
            "telephone_number": "706-305-3241",
            "fax_number": "706-733-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ANNE FLACK DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "FLACK",
        "authorized_official_first_name": "BETH ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-305-3241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "GA",
            "license": "CHIR009305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flack Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flack Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.