Organization Active NPI

Balanced Family Wellness

  • Chiropractor
  • Newnan, GA
National Provider Identifier
1336423409
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008708 Issued in GA
Legal business name
BALANCED FAMILY WELLNESS
Practice address
931 Lower Fayetteville Rd Ste H
Newnan, GA 30263-5790
Phone
(706) 683-6884
Fax
(770) 252-5630
NPI assigned
Oct 6, 2011
Last updated
Feb 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Dr. Jennifer Ann McGehee, D.CNPI 1760790810
Title
Chiropractor
Phone
(770) 683-6884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008708 GA Primary

Addresses

Primary practice location

931 Lower Fayetteville Rd Ste H
Newnan, GA 30263-5790

Mailing address

931 Lower Fayetteville Rd Ste H
Newnan, GA 30263-5790
Phone (404) 936-8546

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111007000406 GA Part B Supplier - Clinic/Group Practice 5395917736 Receives reassigned benefits from 2 practitioners
Practice locations: Newnan, GA

National Provider Directory

National Provider Directory

Locations

802 Lower Fayetteville Rd
Ste A
Newnan, GA 30263
Phone (404) 936-8546

931 Lower Fayetteville Rd
Ste H
Newnan, GA 30263
Phone (706) 683-6884

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1336423409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 LOWER FAYETTEVILLE RD STE H",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635790",
            "telephone_number": "404-936-8546",
            "fax_number": "770-252-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 LOWER FAYETTEVILLE RD STE H",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635790",
            "telephone_number": "706-683-6884",
            "fax_number": "770-252-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED FAMILY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "MCGEHEE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "770-683-6884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.