Wycliff Harold Stewart, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO10088 Issued in GA

Practice address

1103 Madison Ave N
Douglas, GA 31533-2803

Phone

(912) 384-3002

Fax

(912) 383-4691

NPI assigned

Aug 6, 2018

Sex

Male

Sole proprietor

No

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

Palmer College Chiropractic - West Sunnyvale, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coffee Chiropractic LLC

  • Chiropractor
  • Douglas, GA
  • NPI 1275187403
  Medicare reassignment NPD Authorized official
• Reid Chiropractic Office PC

  • Chiropractor
  • Sylvester, GA
  • NPI 1942350657
  NPD (past)

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1235617820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 MADISON AVE N",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332803",
            "telephone_number": "912-384-3002",
            "fax_number": "912-383-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 MADISON AVE N",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332803",
            "telephone_number": "912-384-3002",
            "fax_number": "912-383-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "WYCLIFF",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO10088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Olivia Shae Spivey, FNP
• Tara Roberts Spivey, PA-C, MPAS
• Elizabeth G Stevens, LMT
• Kayla Shurai Stevens, NP-C
• Laura Melissa Steverson, NP-C
• Regina Ann Stone, FNP-C
• Rebecca Lynn Michelle Strickland, MHC-LP, APC
• Jeffery Todd Stringer, LCSW
• Tonya Lee Sumner, FNP-C
• Benjamin Swafford

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.