Organization Active NPI

South Georgia Spine and Joint Center, LLC

  • Chiropractor
  • Cairo, GA
National Provider Identifier
1174835599
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOUTH GEORGIA SPINE AND JOINT CENTER, LLC
Practice address
26 3Rd Ave NW
Cairo, GA 39828-2000
Phone
(229) 377-1392
Fax
(229) 377-4448
NPI assigned
Jul 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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.
Title
Owner/Doctor
Phone
(229) 377-1392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

26 3Rd Ave NW
Cairo, GA 39828-2000

Mailing address

26 3Rd Ave NW
Cairo, GA 39828-2000
Phone (229) 377-1392

Other names 1

  • South Georgia Spine and Joint Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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"
        }
    ]
}

Other providers in Cairo, GA

Sources for this page

  • 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.