Ren R Halverson, D.C. P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR001742 Issued in GA

Practice address

3366 Cypress Mill Rd.
Brunswick, GA 31520-4712

Phone

(912) 262-9735

Fax

(912) 262-9634

NPI assigned

Feb 28, 2006

Last updated

Oct 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Renfred R. Halverson DC., P.C.

  dba Advanced Chiropractic Center

  • Chiropractor
  • Brunswick, GA
  • NPI 1043324296
  Medicare reassignment Authorized official
• Advanced Health Care Center

  • Multi-Specialty Clinic/Center
  • Jesup, GA
  • NPI 1891891255
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1194791020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 CYPRESS MILL RD.",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204712",
            "telephone_number": "912-262-9735",
            "fax_number": "912-262-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 CYPRESS MILL RD.",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204712",
            "telephone_number": "912-262-9735",
            "fax_number": "912-262-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVERSON",
        "first_name": "REN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C. P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR001742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kera A Hales
• Diane Hall
• Shelly R Hall, CCC-SLP
• Tiffani Hall
• Elizabeth Hallmark, RN
• Richard Jeremy Hammond, DMD
• Thomas Alan Hampton, DMD
• Mark Paul Hanak, A.T.,C.
• Charlotte Mock Hand, NP
• Myranda Lynn Hand, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.