Active NPI
Ronald William Vargo, DC
- Rehabilitation Chiropractor
- Fayetteville, GA
National Provider Identifier
1265508931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CHIR008251
- Practice address
- 105 Walter Way
Fayetteville, GA 30214-3999 - Phone
- (770) 312-4900
- Fax
- (770) 312-4900
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27371 | CA | |
| Rehabilitation Chiropractor | 111NR0400X | CHIR008251 | GA | Primary |
Addresses
Primary practice location
105 Walter Way
Fayetteville, GA 30214-3999
Mailing address
105 Walter Way
Fayetteville, GA 30214-3999
Phone (770) 312-4900
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC27371 | CA | MD | Chiropractor |
| CHIR008251 | GA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1265508931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WALTER WAY",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302143999",
"telephone_number": "770-312-4900",
"fax_number": "770-312-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WALTER WAY",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302143999",
"telephone_number": "770-312-4900",
"fax_number": "770-312-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGO",
"first_name": "RONALD",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27371",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "CHIR008251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.