Active NPI
John W Steedley, D.C.
- Chiropractor
- Valdosta, GA
National Provider Identifier
1194913723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 02069
- Practice address
- 915 E Park Ave
Valdosta, GA 31602-3126 - Phone
- (229) 245-1565
- Fax
- (229) 333-0060
- NPI assigned
- Oct 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 02069 | GA | Primary |
Addresses
Primary practice location
915 E Park Ave
Valdosta, GA 31602-3126
Mailing address
915 E Park Ave
Valdosta, GA 31602-3126
Phone (229) 245-1565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02069 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1194913723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 E PARK AVE",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316023126",
"telephone_number": "229-245-1565",
"fax_number": "229-333-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 E PARK AVE",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316023126",
"telephone_number": "229-245-1565",
"fax_number": "229-333-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEEDLEY",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-09",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "02069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.