Leavengood Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2823 Issued in GA

Legal business name

LEAVENGOOD CHIROPRACTIC, PC

Practice address

1238 S Houston Lake Rd
Ste 3
Warner Robins, GA 31088-0723

Phone

(478) 988-4663

Fax

(478) 988-4881

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Henry Lindelie Leavengood, DCNPI 1346304078

Title

Ceo

Phone

(478) 988-4663

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Henry L Leavengood, D.C.

  • Chiropractor
  • Warner Robins, GA
  • NPI 1346304078
  Medicare reassignment Care Compare group NPD Authorized official
• Lara Kile, D.C.

  • Chiropractor
  • Warner Robins, GA
  • NPI 1134670599
  Medicare reassignment Care Compare group
• Dusty Large, D.C.

  • Chiropractor
  • Macon, GA
  • NPI 1396016648
  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1164617171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 S HOUSTON LAKE RD",
            "address_2": "STE 3",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880723",
            "telephone_number": "478-988-4663",
            "fax_number": "478-988-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 S HOUSTON LAKE RD",
            "address_2": "STE 3",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880723",
            "telephone_number": "478-988-4663",
            "fax_number": "478-988-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAVENGOOD CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "LEAVENGOOD",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "LINDELIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-988-4663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00490421A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIUAL NPI",
            "identifier": "1346304078",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Lavoix-Wilson
• Kelly J Law, D.C.
• Rebecca L Layfield
• Angelita L Leaks
• Jimmy Lee Leary II
• Henry L Leavengood, D.C.
• Carlo C Lee, MD
• Jenna Lee, DMD
• Tonja Simmons Lee
• Tristee Lee

• Chiropractor in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.