Active NPI
Dudley Moye Howard, DC
- Chiropractor
- Waycross, GA
National Provider Identifier
1336205764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007103
- Practice address
- 2000 Tebeau St
Waycross, GA 31501-6359 - Phone
- (912) 283-4300
- Fax
- (912) 283-3938
- NPI assigned
- Dec 29, 2006
- Last updated
- Aug 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR007103 | GA | Primary |
Addresses
Primary practice location
2000 Tebeau St
Waycross, GA 31501-6359
Mailing address
2000 Tebeau St
Waycross, GA 31501-6359
Phone (912) 283-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR007103 | GA | MD | Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Waycross, GA
- NPI 1154510477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1336205764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 TEBEAU ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315016359",
"telephone_number": "912-283-4300",
"fax_number": "912-283-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 TEBEAU ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315016359",
"telephone_number": "912-283-4300",
"fax_number": "912-283-3938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "DUDLEY",
"middle_name": "MOYE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
- Hospice Satilla of Memorial Hospital Inc (Satilla Palliative Care)
- Hospice Satilla of Memorial Hospital Inc
- Hot Springs Emergency Physicians, LLC
- James Aaron Houser, FNP-C
- Howard Family Chiropractic
- Traci Bowers Howard, FNP-BC
- Allison Jo Huck, RD
- Judith L Hunt, LMHC
- William C Hurst Sr., D.M.D.
- William Stephen Hutcheson, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.