Individual provider Active NPI

Michael Stewart, D.C.

  • Chiropractor
  • Savannah, GA
National Provider Identifier
1336249879
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010671 Issued in GA
Practice address
116 Oglethorpe Professional CT
Savannah, GA 31406-3623
Phone
(912) 352-8051
Fax
(912) 352-8076
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 04815 NJ
Chiropractor 111N00000X CHIR010671 GA Primary

Addresses

Primary practice location

116 Oglethorpe Professional CT
Savannah, GA 31406-3623

Mailing address

116 Oglethorpe Professional CT
Savannah, GA 31406-3623
Phone (912) 352-8051

Other practice location 1

251 Rock Rd
Glen Rock, NJ 07452-1745
Phone (201) 670-7661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220615002353 GA Practitioner - Chiropractic 9335289438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

116 Oglethorpe Professional CT
Savannah, GA 31406-3623
Phone (912) 352-8051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010671GAMDChiropractor
04815NJMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Sports Chiropractic & Wellness, PC Sports Physician CurrentSince Mar 14, 2022 Accepting new patients

Locations

116 Oglethorpe Professional Ct
Savannah, GA 31406
Phone (912) 352-8051

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1336249879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 OGLETHORPE PROFESSIONAL CT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063623",
            "telephone_number": "912-352-8051",
            "fax_number": "912-352-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 OGLETHORPE PROFESSIONAL CT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063623",
            "telephone_number": "912-352-8051",
            "fax_number": "912-352-8076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Rock",
            "state": "NJ",
            "postal_code": "074521745",
            "country_code": "US",
            "telephone_number": "201-670-7661",
            "fax_number": "201-670-7582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "04815",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.