Greatest Potential Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4871 Issued in NC

Legal business name

GREATEST POTENTIAL CHIROPRACTIC LLC

Practice address

2013 Olde Regent Way Ste 170
Leland, NC 28451-4194

Phone

(910) 477-3661

NPI assigned

Apr 4, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Marcus Keith Woodburn, DCNPI 1548766827

Title

Owner/Doctor of Chiropractic

Phone

(910) 477-3661

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcus Keith Woodburn

  • Chiropractor
  • Leland, NC
  • NPI 1548766827
  Medicare reassignment NPD Authorized official
• Jeffrey Tyler Gregory, DC

  • Chiropractor
  • Panama City Beach, FL
  • NPI 1457837650
  NPD (past)

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1154827467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 AIRPORT RD STE C",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305701",
            "telephone_number": "334-321-7275",
            "fax_number": "888-505-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 OLDE REGENT WAY STE 170",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514194",
            "telephone_number": "910-477-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATEST POTENTIAL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "WOODBURN",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "910-477-3661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle M Gough Tooker, DMD
• Graceful Healing, PLLC
• Leslie Gravina, PT
• Sean Patrick Gray, PHARM-D
• Greater You Counseling and Wellness, PLLC
• Jennifer Wester Griffin, LCSWA
• Hayley Gutowski, D.C.
• Amanda M Haire
• Nicholas Halaby
• Kimberly Hall

• Chiropractor in Leland, NC
• Providers in Leland, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.