Individual provider Active NPI

Kenneth S Calain, DC

  • Chiropractor
  • Tallapoosa, GA
National Provider Identifier
1265579957
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
008148 Issued in GA
Practice address
145 Head Ave
Tallapoosa, GA 30176-1260
Phone
(770) 574-5005
Fax
(770) 574-5006
NPI assigned
Jan 31, 2007
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2660 TN
Chiropractor 111N00000X 008148 GA Primary

Addresses

Primary practice location

145 Head Ave
Tallapoosa, GA 30176-1260

Mailing address

3624 Edgewood Rd
Ste a
Columbus, GA 31907-8238
Phone (706) 563-3370

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
2660TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Calain Chiropractic Clinic LLC Chiropractor CurrentSince Mar 17, 2013 Accepting new patients
Brodwyn Spine Center LLC Chiropractor Past Accepting new patients
Haralson Spinal Clinics,Inc. Chiropractor Past Accepting new patients
Ankle and Foot Centers of Georgia, LLC Past Accepting new patients

Locations

1001 N Main Ave
Erwin, TN 37650
Phone (423) 330-6738

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1265579957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 EDGEWOOD RD",
            "address_2": "STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319078238",
            "telephone_number": "706-563-3370",
            "fax_number": "770-695-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HEAD AVE",
            "city": "TALLAPOOSA",
            "state": "GA",
            "postal_code": "301761260",
            "telephone_number": "770-574-5005",
            "fax_number": "770-574-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALAIN",
        "first_name": "KENNETH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2660",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "008148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallapoosa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.