Individual provider Active NPI

Kevin W. Townsend, DC

  • Chiropractor
  • Washington, GA
National Provider Identifier
1154757490
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009194 Issued in GA
Practice address
21 W Robert Toombs Ave
Washington, GA 30673-1661
Phone
(706) 678-3292
Fax
(706) 678-3147
NPI assigned
Sep 18, 2013
Last updated
Jun 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009194 GA Primary

Addresses

Primary practice location

21 W Robert Toombs Ave
Washington, GA 30673-1661

Mailing address

2425 W Broad St
Athens, GA 30606-3415
Phone (706) 543-2584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131120001601 GA Practitioner - Chiropractic 2860628906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21 W Robert Toombs Ave
Washington, GA 30673-1661
Phone (706) 678-3292

P O
Suite 1282
Washington, GA 30673-1661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Townsend Chiropractic L.L.C. Chiropractor CurrentSince Dec 22, 2015 Accepting new patients
Meagan Stowe DC, LLC Chiropractor Past Accepting new patients

Locations

21 W Robert Toombs Ave
Washington, GA 30673
Phone (706) 678-3292

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1154757490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 W BROAD ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063415",
            "telephone_number": "706-543-2584",
            "fax_number": "706-354-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W ROBERT TOOMBS AVE",
            "city": "WASHINGTON",
            "state": "GA",
            "postal_code": "306731661",
            "telephone_number": "706-678-3292",
            "fax_number": "706-678-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "KEVIN",
        "middle_name": "W.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-18",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.