Organization Active NPI

Howard Family Chiropractic

  • Chiropractor
  • Waycross, GA
National Provider Identifier
1154510477
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007103 Issued in GA
Legal business name
HOWARD FAMILY CHIROPRACTIC
Practice address
2509 Plant Ave Ste C
Waycross, GA 31501-6086
Phone
(912) 283-4300
Fax
(912) 283-3938
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Dudley Moye Howard, D.C
Title
Doctor
Phone
(912) 283-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR007103 GA Primary

Addresses

Primary practice location

2509 Plant Ave Ste C
Waycross, GA 31501-6086

Mailing address

2509 Plant Ave Ste C
Waycross, GA 31501-6086
Phone (912) 283-4300

Other identifiers 1

IdentifierTypeStateIssuer
GRP4344OtherGAMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

2509 Plant Ave
Ste C
Waycross, GA 31501
Phone (912) 283-4300

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1154510477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 PLANT AVE STE C",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016086",
            "telephone_number": "912-283-4300",
            "fax_number": "912-283-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 PLANT AVE STE C",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016086",
            "telephone_number": "912-283-4300",
            "fax_number": "912-283-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "DUDLEY",
        "authorized_official_middle_name": "MOYE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "912-283-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP4344",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.