Active NPI
Beth Anne Flack DC PC
- Pediatric Chiropractor
- Evans, GA
National Provider Identifier
1124414628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- CHIR009305
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 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
National Provider Directory
National Provider Directory- Tax ID family
- Beth Anne Flack DC PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Evans, GA
- NPI 1932479052
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Evans, GA
- NPI 1568637585
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.