Organization Active NPI

Enhanced Chiropractic, LLC

  • Clinic/Center
  • Pooler, GA
National Provider Identifier
1306432927
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ENHANCED CHIROPRACTIC, LLC
Practice address
114 Canal St Ste 603
Pooler, GA 31322-4292
Phone
(912) 414-5226
NPI assigned
Dec 17, 2020
Last updated
Dec 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Mrs. Shelley Wilkins
Title
Practice Manager
Phone
(912) 414-5226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

114 Canal St Ste 603
Pooler, GA 31322-4292

Mailing address

114 Canal St Ste 603
Pooler, GA 31322-4292
Phone (912) 414-5226

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL shelley@enhancedchirosav.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210203000737 GA Part B Supplier - Clinic/Group Practice 5698189686 Receives reassigned benefits from 1 practitioner
Practice locations: Pooler, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1306432927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CANAL ST STE 603",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224292",
            "telephone_number": "912-414-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CANAL ST STE 603",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224292",
            "telephone_number": "912-414-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "912-414-5226",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shelley@enhancedchirosav.com",
            "affiliation": "N",
            "address_1": "114 Canal St Ste 603",
            "city": "Pooler",
            "state": "GA",
            "country_code": "US",
            "postal_code": "313224292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.