Organization Active NPI

Evans Injury Chiropractic LLC

  • Rehabilitation Chiropractor
  • Evans, GA
National Provider Identifier
1235679721
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CHIR009837 Issued in GA
Legal business name
EVANS INJURY CHIROPRACTIC LLC
Practice address
807 Oakhurst Dr
Suite a
Evans, GA 30809-3713
Phone
(571) 606-9300
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Dr. Jason Allen Rueggeberg, D.C.
Title
Owner
Phone
(571) 606-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X CHIR009837 GA Primary

Addresses

Primary practice location

807 Oakhurst Dr
Suite a
Evans, GA 30809-3713

Mailing address

807 Oakhurst Dr
Suite a
Evans, GA 30809-3713
Phone (571) 606-9300

National Provider Directory

National Provider Directory

Locations

4304 Sudan Dr
Augusta, GA 30907
Phone (706) 305-9046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1235679721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 OAKHURST DR",
            "address_2": "SUITE A",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093713",
            "telephone_number": "571-606-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 OAKHURST DR",
            "address_2": "SUITE A",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093713",
            "telephone_number": "571-606-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS INJURY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "RUEGGEBERG",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-606-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR009837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.