Chantelle Williams, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010395 Issued in GA

Practice address

150 Huddleston Rd Ste 1500
Peachtree City, GA 30269-3112

Phone

(770) 961-7246

NPI assigned

Aug 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Champion Wellness of Haines City, LLC

  • Chiropractor
  • Haines City, FL
  • NPI 1932821378
  NPD

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1164034591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HUDDLESTON RD STE 1500",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HUDDLESTON RD STE 1500",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693112",
            "telephone_number": "770-961-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHANTELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marleigh Whiteman
• Nevaeh Whitsell
• Virginia Rawls Whittlesey, L. AC.
• Ronald Carl Wilcox, D.D.S.
• Brianna Williams
• Harold Jackson Williams Jr.
• Jan D. Williams, SLPD
• Kristina Elaine Williams, OT
• Kyle Edward Williams
• Mironda Williams, M.D.

• All providers in Peachtree City, GA
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.