Stephen Andrew Dockery, DC
Individual provider Active NPI Chiropractor · Young Harris, GA
NPI 1194452045 · NPPES record last updated Nov 8, 2022
Key facts
- NPI
- 1194452045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIR010820 (GA)
- Practice address
- 3259 Holland Dr
Young Harris, GA 30582-6907 - Phone
- (706) 669-9689
- NPI assigned
- Aug 2, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Fix, LLC
Practice addresses (Care Compare)
1159 Main St
Young Harris, GA 30582-4315
Phone (706) 663-3883
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221011002710 | GA | Practitioner - Chiropractic | 4183090400 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR010820 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Fix, LLC | Current |
Accepting new patients |
Locations
1159 Main St
Young Harris, GA 30582
Phone (706) 663-3883
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR010820 | GA | Yes |
Addresses
Primary practice location
3259 Holland Dr
Young Harris, GA 30582-6907
Mailing address
PO Box 219
Young Harris, GA 30582-0219
Phone (706) 669-9689
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Chirofusion | Direct |
Other providers in Young Harris, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.