Organization Active NPI

Metter Chiropractic Center, Inc.

  • Chiropractor
  • Metter, GA
National Provider Identifier
1285893479
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007703 Issued in GA
Legal business name
METTER CHIROPRACTIC CENTER, INC.
Practice address
60 N Rountree St
Metter, GA 30439-4019
Phone
(912) 685-2324
Fax
(912) 685-4932
NPI assigned
Jun 3, 2008
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Michael Gasiecki, D.C.NPI 1861495392
Title
President
Phone
(912) 685-2324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007703 GA Primary

Addresses

Primary practice location

60 N Rountree St
Metter, GA 30439-4019

Mailing address

60 N Rountree St
Metter, GA 30439-4019
Phone (912) 685-2324

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051221000519 GA Part B Supplier - Clinic/Group Practice 9436171279 Receives reassigned benefits from 1 practitioner
Practice locations: Metter, GA

National Provider Directory

National Provider Directory

Locations

60 N Rountree St
Metter, GA 30439
Phone (912) 685-2324

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1285893479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N ROUNTREE ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304394019",
            "telephone_number": "912-685-2324",
            "fax_number": "912-685-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N ROUNTREE ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304394019",
            "telephone_number": "912-685-2324",
            "fax_number": "912-685-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METTER CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "GASIECKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-685-2324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metter, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.