South Georgia Spine and Joint Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUTH GEORGIA SPINE AND JOINT CENTER, LLC

Doing business as

South Georgia Spine and Joint Center

Practice address

26 3Rd Ave NW
Cairo, GA 39828-2000

Phone

(229) 377-1392

Fax

(229) 377-4448

NPI assigned

Jul 14, 2010

Last updated

Dec 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael R Waldrop, D.C.NPI 1952406100

Title

Owner/Doctor

Phone

(229) 377-1392

Specialties & licenses 1

Addresses

Other names 1

• South Georgia Spine and Joint Center Doing business as

Practitioners 1

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.

• Michael Rodge Waldrop Sr., D.C.

  • Chiropractor
  • Cairo, GA
  • NPI 1952406100
  Authorized official Same address or phone

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1174835599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 3RD AVE NW",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398282000",
            "telephone_number": "229-377-1392",
            "fax_number": "229-377-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 3RD AVE NW",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398282000",
            "telephone_number": "229-377-1392",
            "fax_number": "229-377-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA SPINE AND JOINT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "229-377-1392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Georgia Spine and Joint Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jana Louise Smith
• Julene Dorothy Smith, PMHNP-BC
• Kyara Smith
• Kynthia Lynette Smith, FNP-C
• Robert Snipes, PTA
• Torey Spence
• William Ronald Spooner, O.D.
• Ariel Stanton
• Suzanne Lee Stencel
• Stephen L Floore MD PC

• Chiropractor in Cairo, GA
• Providers in Cairo, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.