Jon Alan Wise, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6562 Issued in GA

Practice address

91 Sammy McGhee Blvd
Suite 103
Jasper, GA 30143-7703

Phone

(706) 253-9355

Fax

(706) 253-9352

NPI assigned

Jan 8, 2007

Last updated

Nov 6, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• A. Y. Barbell, LLC

  dba North Georgia Wellness Collective

  • Chiropractor
  • Ball Ground, GA
  • NPI 1265017040
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1336297779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 SAMMY MCGHEE BLVD",
            "address_2": "SUITE 103",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437703",
            "telephone_number": "706-253-9355",
            "fax_number": "706-253-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SAMMY MCGHEE BLVD",
            "address_2": "SUITE 103",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437703",
            "telephone_number": "706-253-9355",
            "fax_number": "706-253-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "JON",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Wheeler, FNP-C
• Pamela Whitssell
• Carolyn Noreen Wilkins, BCBA
• Sara L Williams, FNP C
• Charles Omar Wilson Jr., M.D.
• Womens Specialty Center of North Georgia
• Charlotte Wood
• Claire C Wood
• Jenny Mari Wood, LPC
• Charles Russell Wright, DDS

• Chiropractor in Jasper, GA
• Providers in Jasper, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.