NPIMap

Organization Active NPI

Living Life Well Chiropractic, Inc

  • Chiropractor
  • Waynesboro, GA
National Provider Identifier
1124445556
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8614 Issued in GA
Legal business name
LIVING LIFE WELL CHIROPRACTIC, INC
Practice address
403 Shadrack St
Waynesboro, GA 30830-1540
Phone
(706) 437-1170
Fax
(706) 437-1163
NPI assigned
Mar 24, 2014
Last updated
Sep 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Mignon Sweat, D.C., M.S.NPI 1740624147
Title
Chiropractor
Phone
(706) 437-1170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8614 GA Primary

Addresses

Primary practice location

403 Shadrack St
Waynesboro, GA 30830-1540

Mailing address

403 Shadrack St
Waynesboro, GA 30830-1540
Phone (706) 437-1170

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1124445556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SHADRACK ST",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308301540",
            "telephone_number": "706-437-1170",
            "fax_number": "706-437-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SHADRACK ST",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308301540",
            "telephone_number": "706-437-1170",
            "fax_number": "706-437-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING LIFE WELL CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "SWEAT",
        "authorized_official_first_name": "MIGNON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "706-437-1170",
        "authorized_official_credential": "D.C., M.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "8614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.