NPIMap

Organization Active NPI

Bearden Chiropractic Center

  • Chiropractor
  • Eastman, GA
National Provider Identifier
1154499101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008089 Issued in GA
Legal business name
BEARDEN CHIROPRACTIC CENTER
Practice address
5633 Oak St
Eastman, GA 31023-5638
Phone
(478) 374-1111
Fax
(478) 374-1913
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Phillip Mannella, D.C.NPI 1073576732
Title
Doctor Owner
Phone
(478) 374-1111

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CHIR008089 GA Primary

Addresses

Primary practice location

5633 Oak St
Eastman, GA 31023-5638

Mailing address

5633 Oak St
Eastman, GA 31023-5638
Phone (478) 374-1111

Other names 1

  • mannella chiropractic, p.c. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bearden Chiropractic Center2 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 5

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154499101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 OAK ST",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310235638",
            "telephone_number": "478-374-1111",
            "fax_number": "478-374-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 OAK ST",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310235638",
            "telephone_number": "478-374-1111",
            "fax_number": "478-374-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEARDEN CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANNELLA",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "478-374-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mannella chiropractic, p.c.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastman, GA

Sources for this page

  • 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.