Blue Ridge Chiropractic and Life Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO08129 Issued in GA

Legal business name

BLUE RIDGE CHIROPRACTIC AND LIFE CENTER

Practice address

5 W Fain St
Blue Ridge, GA 30513-4451

Phone

(706) 946-1215

Fax

(706) 946-1216

NPI assigned

Sep 25, 2012

Last updated

Sep 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon S Fuzi, D.C.NPI 1104002591

Title

Owner

Phone

(706) 946-1215

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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.

• Brandon Scott Fuzi, D.C.

  • Chiropractor
  • Blue Ridge, GA
  • NPI 1104002591
  Medicare reassignment Care Compare group NPD Authorized official
• Magalie Dean, D.C.

  • Chiropractor
  • Blue Ridge, GA
  • NPI 1386535227
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1306197892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W FAIN ST",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134451",
            "telephone_number": "706-946-1215",
            "fax_number": "706-946-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W FAIN ST",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134451",
            "telephone_number": "706-946-1215",
            "fax_number": "706-946-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE CHIROPRACTIC AND LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "FUZI",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-946-1215",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO08129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Jay Beckner, DC
• Joann Belmont, RN
• Paul Nelson Blais, DC
• Kara Brynn Blake, RBT
• Blue Ridge Anesthesia Associates, Inc
• Blue Ridge Concierge Medicine LLC
• Blue Ridge Dermatology
• Blue Ridge Dermatology
• Blue Ridge Georgia Hospital Company LLC (Blue Ridge Rural Health Clinic)
• Blue Ridge Georgia Hospital Company LLC (Fannin Regional Hospital)

• Chiropractor in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.