Individual provider Active NPI

George William Spain, D.C.

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1255497277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0001359 Issued in FL
Practice address
8183 Kipling St
Pensacola, FL 32514-7441
Phone
(850) 479-1212
Fax
(850) 505-7877
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0001359 FL Primary

Addresses

Primary practice location

8183 Kipling St
Pensacola, FL 32514-7441

Mailing address

8183 Kipling St
Pensacola, FL 32514-7441
Phone (850) 479-1212

Other identifiers 1

IdentifierTypeStateIssuer
5338803OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0001359FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back2Health Chiropractic Wellness Chiropractor Past Accepting new patients
Spain Wellness Center Inc Chiropractor PastSince Jul 1, 2000 Accepting new patients
NW Health Services LLC Chiropractor PastSince Feb 25, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255497277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8183 KIPLING ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147441",
            "telephone_number": "850-479-1212",
            "fax_number": "850-505-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8183 KIPLING ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147441",
            "telephone_number": "850-479-1212",
            "fax_number": "850-505-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAIN",
        "first_name": "GEORGE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0001359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5338803",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.