Active NPI
Stephen Andrew Dockery, DC
- Chiropractor
- Young Harris, GA
National Provider Identifier
1194452045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR010820
- Practice address
- 3259 Holland Dr
Young Harris, GA 30582-6907 - Phone
- (706) 669-9689
- NPI assigned
- Aug 2, 2022
- Last updated
- Nov 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR010820 | GA | Primary |
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 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Chirofusion | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1159 Main St
Young Harris, GA 30582-4315
Phone (706) 663-3883
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1194452045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 219",
"city": "YOUNG HARRIS",
"state": "GA",
"postal_code": "305820219",
"telephone_number": "706-669-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3259 HOLLAND DR",
"city": "YOUNG HARRIS",
"state": "GA",
"postal_code": "305826907",
"telephone_number": "706-669-9689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCKERY",
"first_name": "STEPHEN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-02",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR010820",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Chirofusion",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3259 Holland Dr",
"city": "Young Harris",
"state": "GA",
"country_code": "US",
"postal_code": "305826907",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Young Harris, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.