Individual provider Active NPI

Dionne Anderson, DC

  • Chiropractor
  • Peachtree City, GA
National Provider Identifier
1205359668
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO09900 Issued in GA
Practice address
40 Eastbrook BND Ste C
Peachtree City, GA 30269-1567
Phone
(706) 846-2787
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO09900 GA Primary

Addresses

Primary practice location

40 Eastbrook BND Ste C
Peachtree City, GA 30269-1567

Mailing address

PO Box 307
Manchester, GA 31816-0307
Phone (706) 846-2787

Other practice location 1

1619 Highway 19 N
Thomaston, GA 30286-2277
Phone (706) 646-4333

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO09900GAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205359668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "318160307",
            "telephone_number": "706-846-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 EASTBROOK BND STE C",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691567",
            "telephone_number": "706-846-2787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1619 Highway 19 N",
            "address_purpose": "LOCATION",
            "city": "Thomaston",
            "state": "GA",
            "postal_code": "302862277",
            "country_code": "US",
            "telephone_number": "706-646-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DIONNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO09900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.