Organization Active NPI

Chimedical Management Group, LLC

  • Chiropractor
  • Midland, GA
National Provider Identifier
1336565191
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIMEDICAL MANAGEMENT GROUP, LLC
Practice address
6487 Pierce Chapel Rd Unit 5
Midland, GA 31820-3554
Phone
(706) 464-7464
Fax
(866) 837-9033
NPI assigned
Mar 17, 2014
Last updated
Mar 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Dr. Stephen B Cooper, DC
Title
Ceo, Managing Partner
Phone
(706) 464-7464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X GA
Chiropractor 111N00000X GA Primary

Addresses

Primary practice location

6487 Pierce Chapel Rd Unit 5
Midland, GA 31820-3554

Mailing address

6487 Pierce Chapel Rd Unit 5
Midland, GA 31820-3554
Phone (706) 464-7464

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1336565191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6487 PIERCE CHAPEL RD UNIT 5",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318203554",
            "telephone_number": "706-464-7464",
            "fax_number": "866-837-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6487 PIERCE CHAPEL RD UNIT 5",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318203554",
            "telephone_number": "706-464-7464",
            "fax_number": "866-837-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIMEDICAL MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO, MANAGING PARTNER",
        "authorized_official_telephone_number": "706-464-7464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.