NPIMap

Organization Active NPI

Northeast Chiropractic Clinic

  • Clinic/Center
  • Macon, GA
National Provider Identifier
1194005082
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CHIR 005023 Issued in GA
Legal business name
NORTHEAST CHIROPRACTIC CLINIC
Practice address
618 Shurling Dr
Macon, GA 31211-1950
Phone
(478) 743-2402
NPI assigned
Aug 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Dr. Lori Lee Ugolik, D.C.NPI 1174817944
Title
Owner
Phone
(478) 743-2402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CHIR 005023 GA Primary

Addresses

Primary practice location

618 Shurling Dr
Macon, GA 31211-1950

Mailing address

618 Shurling Dr
Macon, GA 31211-1950
Phone (478) 743-2402

National Provider Directory

National Provider Directory

Locations

618 Shurling Dr
Macon, GA 31211
Phone (478) 743-2402

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1194005082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 SHURLING DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111950",
            "telephone_number": "478-743-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 SHURLING DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111950",
            "telephone_number": "478-743-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "UGOLIK",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-743-2402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CHIR 005023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.