Organization Active NPI

Townsend Chiropractic L.L.C.

Doing business as Stewart Clinic Medical Group Washington

  • Chiropractor
  • Washington, GA
National Provider Identifier
1255748315
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009194 Issued in GA
Legal business name
TOWNSEND CHIROPRACTIC L.L.C.
Doing business as
Stewart Clinic Medical Group Washington
Practice address
21 W Robert Toombs Ave
Washington, GA 30673-1661
Phone
(706) 678-3292
Fax
(706) 678-3252
NPI assigned
Jul 21, 2014
Last updated
Jul 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Dr. Kevin Townsend, D.C.NPI 1154757490
Title
Owner
Phone
(256) 225-8017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009194 GA Primary

Addresses

Primary practice location

21 W Robert Toombs Ave
Washington, GA 30673-1661

Mailing address

PO Box 161
Washington, GA 30673-0161
Phone (706) 678-3292

Other names 1

  • Stewart Clinic Medical Group Washington Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160321002528 GA Part B Supplier - Clinic/Group Practice 3577860436 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, GA

National Provider Directory

National Provider Directory

Locations

21 W Robert Toombs Ave
Washington, GA 30673
Phone (706) 678-3292

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1255748315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "city": "WASHINGTON",
            "state": "GA",
            "postal_code": "306730161",
            "telephone_number": "706-678-3292",
            "fax_number": "706-678-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W ROBERT TOOMBS AVE",
            "city": "WASHINGTON",
            "state": "GA",
            "postal_code": "306731661",
            "telephone_number": "706-678-3292",
            "fax_number": "706-678-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSEND CHIROPRACTIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-225-8017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stewart Clinic Medical Group Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.