Individual provider Active NPI

Cody Febles, DC

  • Chiropractor
  • Milton, GA
National Provider Identifier
1225653256
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010372 Issued in GA
Practice address
15800 Birmingham Hwy Ste 500
Milton, GA 30004-4423
Phone
(678) 266-3300
Fax
(678) 266-3322
NPI assigned
Jun 16, 2020
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010372 GA Primary

Addresses

Primary practice location

15800 Birmingham Hwy Ste 500
Milton, GA 30004-4423

Mailing address

15800 Birmingham Hwy Ste 500
Milton, GA 30004-4423
Phone (678) 266-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201223000004 GA Practitioner - Chiropractic 9830501279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dimartino Chiropractic LLCGroup PAC ID 6305093774, 3 clinicians

Practice addresses (Care Compare)

15800 Birmingham Hwy
Suite 500
Milton, GA 30004-4423
Phone (678) 266-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010372GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kennestone Hospital, Inc PastSince Jun 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1225653256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 BIRMINGHAM HWY STE 500",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300044423",
            "telephone_number": "678-266-3300",
            "fax_number": "678-266-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 BIRMINGHAM HWY STE 500",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300044423",
            "telephone_number": "678-266-3300",
            "fax_number": "678-266-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEBLES",
        "first_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.