Individual provider Active NPI

Michael Haniotis, DC

  • Chiropractor
  • Columbus, GA
National Provider Identifier
1275829657
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008549 Issued in GA
Practice address
3624 Edgewood Rd
Columbus, GA 31907-8237
Phone
(706) 563-3370
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008549 GA Primary

Addresses

Primary practice location

3624 Edgewood Rd
Columbus, GA 31907-8237

Mailing address

3624 Edgewood Rd
Columbus, GA 31907-8237
Phone (706) 563-3370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913002256 GA Practitioner - Chiropractic 7810283116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jay Brodwyn Clinicare of Columbus IncGroup PAC ID 5991720740, 2 clinicians

Practice addresses (Care Compare)

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

8132 Veterans Pkwy
Suite 415
Columbus, GA 31909-1801
Phone (706) 563-3370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008549GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Brodwyn Clinicare of Columbus Inc Chiropractor CurrentSince Aug 4, 2016 Accepting new patients
Brodwyn Spine Center LLC Chiropractor CurrentSince May 15, 2024 Accepting new patients
West Georgia Regenerative Medicine LLC Current Accepting new patients

Locations

3624 Edgewood Rd
Ste A
Columbus, GA 31907

8132 Veterans Pkwy
Ste 415
Columbus, GA 31909
Phone (706) 563-3370

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

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1275829657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 EDGEWOOD RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319078237",
            "telephone_number": "706-563-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 EDGEWOOD RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319078237",
            "telephone_number": "706-563-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIOTIS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.