Travis John Humber, D.C
Individual provider Active NPI Chiropractor · Sharpsburg, GA
NPI 1245697333 · NPPES record last updated Jan 21, 2016
Key facts
- NPI
- 1245697333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIR009639 (GA)
- Practice address
- 820 Ebenezer Church Rd
Sharpsburg, GA 30277-2073 - Phone
- (770) 251-4345
- NPI assigned
- Jan 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Humber-Kirk Chiropractic Clinic, LLC
Practice addresses (Care Compare)
820 Ebenezer Church Rd
Suite 100
Sharpsburg, GA 30277-2073
Phone 7702514345305
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160311000258 | GA | Practitioner - Chiropractic | 3678879095 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humber-Kirk Chiropractic Clinic, LLC | Chiropractor | Current |
Accepting new patients |
| Atlas Integrative Medicine and Spine Center LLC | Past | Accepting new patients |
Locations
820 Ebenezer Church Rd
Sharpsburg, GA 30277
Phone (770) 251-4345
820 Ebenezer Church Rd
Ste 100
Sharpsburg, GA 30277
Phone (770) 251-4345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009639 | GA | Yes |
Addresses
Primary practice location
820 Ebenezer Church Rd
Sharpsburg, GA 30277-2073
Mailing address
1145 Highway 92 N
Fayetteville, GA 30214-3776
Phone (404) 867-3444
Other providers in Sharpsburg, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.