Individual provider Active NPI

David L Peer, DC

  • Chiropractor
  • Hinesville, GA
National Provider Identifier
1306155361
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008717 Issued in GA
Practice address
211 E Memorial Dr
Hinesville, GA 31313-2709
Phone
(912) 368-4002
Fax
(912) 368-4009
NPI assigned
Sep 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008717 GA Primary
Independent Medical Examiner Chiropractor 111NI0013X CHIR008717 GA

Addresses

Primary practice location

211 E Memorial Dr
Hinesville, GA 31313-2709

Mailing address

211 E Memorial Dr
Hinesville, GA 31313-2709
Phone (912) 368-4002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000318 GA Practitioner - Chiropractic 0446432389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

211 E Memorial Dr
Hinesville, GA 31313-2709
Phone (912) 368-4002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008717GAMDIndependent Medical Examiner Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty County Clinic of Chiropractic Independent Medical Examiner CurrentSince Oct 21, 2010 Accepting new patients

Locations

211 E Memorial Dr
Ste C
Hinesville, GA 31313

211 E Memorial Dr
Hinesville, GA 31313
Phone (912) 368-0002

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": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1306155361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E MEMORIAL DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132709",
            "telephone_number": "912-368-4002",
            "fax_number": "912-368-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E MEMORIAL DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132709",
            "telephone_number": "912-368-4002",
            "fax_number": "912-368-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEER",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-24",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008717",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "GA",
            "license": "CHIR008717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.