Individual provider Active NPI

Charles Edward Foster Jr., DC

  • Chiropractor
  • Macon, GA
National Provider Identifier
1275636375
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2884 Issued in GA
Practice address
3323 Northside Dr
Macon, GA 31210-2503
Phone
(478) 474-3883
Fax
(478) 474-3884
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2884 GA Primary
Chiropractor 111N00000X 1920 NC

Addresses

Primary practice location

3323 Northside Dr
Macon, GA 31210-2503

Mailing address

3323 Northside Dr
Macon, GA 31210-2503
Phone (478) 474-3883

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
2884GAMDClinical Social Worker
1920NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles E. Foster, D. C. P. C. CurrentSince Jul 1, 1966 Accepting new patients

Locations

3323 Northside Dr
Macon, GA 31210
Phone (478) 474-3883

Organizations & group practices 1

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1275636375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 NORTHSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102503",
            "telephone_number": "478-474-3883",
            "fax_number": "478-474-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 NORTHSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102503",
            "telephone_number": "478-474-3883",
            "fax_number": "478-474-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2884",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.