Individual provider Active NPI

David E Paxton, DC

  • Chiropractor
  • Rome, GA
National Provider Identifier
1184734139
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1401 Issued in GA
Practice address
1011 N 5TH Ave
Rome, GA 30165
Phone
(706) 234-7000
Fax
(706) 234-2366
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1401 GA Primary

Addresses

Primary practice location

1011 N 5TH Ave
Rome, GA 30165

Mailing address

PO Box 5465
Rome, GA 30162
Phone (706) 234-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000889 GA Practitioner - Chiropractic 4688773260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1978
Medicare assignment
May accept Medicare assignment
Group practices
Whitehall Medical CenterGroup PAC ID 6608857404, 2 clinicians

Practice addresses (Care Compare)

1011 N 5TH Ave
Rome, GA 30165-2601
Phone (706) 234-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1401GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Whitehall Wellness Center Chiropractor CurrentSince Mar 26, 2001 Accepting new patients

Locations

1011 N 5th Ave NE
Rome, GA 30165
Phone (706) 234-7000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184734139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5465",
            "city": "ROME",
            "state": "GA",
            "postal_code": "30162",
            "telephone_number": "706-234-7000",
            "fax_number": "706-234-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N 5TH AVE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "30165",
            "telephone_number": "706-234-7000",
            "fax_number": "706-234-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAXTON",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "1401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.