Dynamic Spine II Center LLC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

Legal business name

DYNAMIC SPINE II CENTER LLC

Practice address

21 Market Square Way Ste 103
Newnan, GA 30265-5712

Phone

(770) 229-6141

NPI assigned

Dec 5, 2018

Last updated

Dec 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randall RansomNPI 1306124151

Title

Ceo

Phone

(334) 322-0906

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Logan Hart, B.S., D.C.

  • Sports Physician Chiropractor
  • Peachtree City, GA
  • NPI 1891199543
  Medicare reassignment NPD
• Meredith Lee Jones, DC

  • Chiropractor
  • Newnan, GA
  • NPI 1104409945
  Medicare reassignment NPD
• Dustin Walton

  • Rehabilitation Chiropractor
  • Cumming, GA
  • NPI 1821411984
  Medicare reassignment NPD
• Randall Alan Ransom Jr., DPT

  • Physical Therapist
  • Auburn, AL
  • NPI 1306124151
  NPD (past) Authorized official

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1235609041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MARKET SQUARE WAY STE 103",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MARKET SQUARE WAY STE 103",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655712",
            "telephone_number": "770-229-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SPINE II CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "RANSOM",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-322-0906"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosette Duruh, PHARM.D
• Paul L Duso, CRNA
• Parul Dutta, MD FACP
• Winifred Dowdell Dye
• Joseph Dyer, DO
• Jidiyah Easley
• Savannah Jayne Eason, RBT
• Echoic Autism Center Inc (Echoic Autism Center)
• Eric Jerome Echols, D.D.S.
• James William Eden, CRNA

• Orthopedic Chiropractor in Newnan, GA
• Providers in Newnan, GA by specialty
• Orthopedic Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.