Active NPI
Kelly J Law, D.C.
- Chiropractor
- Warner Robins, GA
National Provider Identifier
1336212646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007902
- Practice address
- 113 Carl Vinson Pkwy
Suite a
Warner Robins, GA 31088-5817 - Phone
- (478) 960-9943
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 | CHIR007902 | GA | Primary |
Addresses
Primary practice location
113 Carl Vinson Pkwy
Suite a
Warner Robins, GA 31088-5817
Mailing address
113 Carl Vinson Pkwy Ste a
Warner Robins, GA 31088-5817
Other names 1
- Dr. Kelly J Richardson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
113 Carl Vinson Pkwy
Suite a
Warner Robins, GA 31088-5817
Phone (478) 225-9840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR007902 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Chiropractic Specialists, Inc. | Chiropractor | Current | Accepting new patients |
| Health Concepts I | Chiropractor | Past | Accepting new patients |
| Health Concepts | Chiropractor | Past | Accepting new patients |
Locations
113 Carl Vinson Pkwy
Warner Robins, GA 31088
113 Carl Vinson Pkwy
#A
Warner Robins, GA 31088
Phone (478) 225-9840
Organizations & group practices 3
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.
-
- Chiropractor
- Warner Robins, GA
- NPI 1164690715
-
- Chiropractor
- Fayetteville, GA
- NPI 1801099726
-
- Chiropractor
- Fayetteville, GA
- NPI 1487984191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510531200000",
"number": "1336212646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 CARL VINSON PKWY STE A",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310885817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 CARL VINSON PKWY",
"address_2": "SUITE A",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310885817",
"telephone_number": "478-960-9943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAW",
"first_name": "KELLY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2017-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "RICHARDSON",
"middle_name": "J",
"prefix": "DR.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.