Justin Thomas Tinker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9385 Issued in GA

Practice address

1147 US Highway 80 W
Pooler, GA 31322-2203

Phone

(912) 748-1506

NPI assigned

Sep 16, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Summit Integrative Health, LLC

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1295202984
  NPD Authorized official
• Sambursky Chiropractic LLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1073740189
  NPD

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1194127670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BRADLEY DR",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313247709",
            "telephone_number": "404-405-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 US HIGHWAY 80 W",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222203",
            "telephone_number": "912-748-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINKER",
        "first_name": "JUSTIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "9385",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Integrated Neuropsychological Services
• Felicia Tilles
• Andrea M Tillman, LMSW
• Mikayla Tillman, PT, DPT
• Nicole Tillmann
• Callie Toaso, OTR/L
• Kanisha Tookes
• Jasmine Capri Toomer
• Dan Topiol
• Joshua Andrew Tosto, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.