Active NPI
Kenneth Robert Bartlett, DC
- Chiropractor
- Griffin, GA
National Provider Identifier
1285147652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009896
- Practice address
- 686 S 8TH St
Griffin, GA 30224-4214 - Phone
- (404) 566-5247
- Fax
- (404) 521-4559
- NPI assigned
- Nov 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009896 | GA | Primary |
Addresses
Primary practice location
686 S 8TH St
Griffin, GA 30224-4214
Mailing address
686 S 8TH St
Griffin, GA 30224-4214
Phone (404) 566-5247
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009896 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Spinal Health & Wellness Inc | Past | Accepting new patients |
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.
-
- General Practice Physician
- Atlanta, GA
- NPI 1629329008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1285147652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "686 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244214",
"telephone_number": "404-566-5247",
"fax_number": "404-325-0085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244214",
"telephone_number": "404-566-5247",
"fax_number": "404-521-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLETT",
"first_name": "KENNETH",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-08",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.