Individual provider Active NPI

Benjamin Mathew Stabbe, DC

  • Chiropractor
  • Savannah, GA
National Provider Identifier
1295232452
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010047 Issued in GA
Practice address
2 Park of Commerce Blvd Ste D
Savannah, GA 31405-7410
Phone
(912) 777-3717
Fax
(912) 349-7266
NPI assigned
Apr 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010047 GA Primary

Addresses

Primary practice location

2 Park of Commerce Blvd Ste D
Savannah, GA 31405-7410

Mailing address

223 Walden LN Apt 223
Savannah, GA 31405-8404
Phone (919) 357-3771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181008001023 GA Practitioner - Chiropractic 3870845548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 Charlotte Dr
Suite D
Savannah, GA 31410-1914
Phone (912) 456-1990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Driftwood Chiropractic LLC Chiropractor CurrentSince Apr 10, 2024 Accepting new patients
Coastal Empire Chiropractic Inc Chiropractor CurrentSince Sep 7, 2018 Accepting new patients
Bliss Chiropractic Inc Chiropractor PastSince Sep 7, 2018 Accepting new patients

Locations

107 Charlotte Dr
Ste D
Savannah, GA 31410
Phone (912) 456-1990

2 Park of Commerce Blvd
Ste D
Savannah, GA 31405
Phone (912) 777-3717

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1295232452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WALDEN LN APT 223",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314058404",
            "telephone_number": "919-357-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK OF COMMERCE BLVD STE D",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314057410",
            "telephone_number": "912-777-3717",
            "fax_number": "912-349-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABBE",
        "first_name": "BENJAMIN",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.