Individual provider Active NPI

Bethany Druckenmiller, DC

  • Chiropractor
  • Evans, GA
National Provider Identifier
1326503491
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010134 Issued in GA
Practice address
625 Ponder Place Dr Ste 2
Evans, GA 30809-3342
Phone
(706) 524-8077
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010134 GA Primary

Addresses

Primary practice location

625 Ponder Place Dr Ste 2
Evans, GA 30809-3342

Mailing address

625 Ponder Place Dr Ste 2
Evans, GA 30809-3342
Phone (706) 524-8077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190411001660 GA Practitioner - Chiropractic 1153662507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

625 Ponder Place Dr
Suite 2
Evans, GA 30809-3342
Phone (706) 524-8077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010134GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Chiropractic LLC Chiropractor CurrentSince Feb 4, 2019 Accepting new patients

Locations

625 Ponder Place Dr
Ste 2
Evans, GA 30809
Phone (706) 524-8077

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1326503491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PONDER PLACE DR STE 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093342",
            "telephone_number": "706-524-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PONDER PLACE DR STE 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093342",
            "telephone_number": "706-524-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUCKENMILLER",
        "first_name": "BETHANY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.