Individual provider Active NPI

Courtney Alan Mote, B.S., D.C.

  • Chiropractor
  • Cornelia, GA
National Provider Identifier
1316185689
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008431 Issued in GA
Practice address
186 Cannon Bridge Rd
Suite B
Cornelia, GA 30531-4700
Phone
(706) 778-0077
Fax
(706) 778-0565
NPI assigned
Jan 26, 2009
Last updated
Aug 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008431 GA Primary

Addresses

Primary practice location

186 Cannon Bridge Rd
Suite B
Cornelia, GA 30531-4700

Mailing address

186 Cannon Bridge Rd
Suite B
Cornelia, GA 30531-4700
Phone (706) 778-0077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091209000206 GA Practitioner - Chiropractic 4385783000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spinal Rehab and Healthcare, LLCGroup PAC ID 5294954624, 3 clinicians

Practice addresses (Care Compare)

186 Cannon Bridge Rd
Unit B
Cornelia, GA 30531-4710
Phone (706) 778-0077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Rehabilitation Centers Inc Chiropractor CurrentSince Mar 29, 2013 Accepting new patients
Corey a Mote DC LLC Chiropractor Past Accepting new patients

Locations

186 Cannon Bridge Rd
Ste 2
Cornelia, GA 30531
Phone (706) 778-0077

186 Cannon Bridge Rd
Unit B
Cornelia, GA 30531
Phone (706) 778-0077

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1316185689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 CANNON BRIDGE RD",
            "address_2": "SUITE B",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305314700",
            "telephone_number": "706-778-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 CANNON BRIDGE RD",
            "address_2": "SUITE B",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305314700",
            "telephone_number": "706-778-0077",
            "fax_number": "706-778-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTE",
        "first_name": "COURTNEY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "B.S., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.