Henry L Leavengood, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR002823 Issued in GA

Practice address

1238 S Houston Lake Rd
Ste 3
Warner Robins, GA 31088-0723

Phone

(478) 988-4663

Fax

(478) 988-4881

NPI assigned

Dec 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1987

Medicare assignment

May accept Medicare assignment

Group practices

Leavengood Chiropractic, PCGroup PAC ID 8022921808, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Leavengood Chiropractic, PC

  • Chiropractor
  • Warner Robins, GA
  • NPI 1164617171
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346304078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 S HOUSTON LAKE RD",
            "address_2": "STE 3",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880723",
            "telephone_number": "478-988-4663",
            "fax_number": "478-988-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 S HOUSTON LAKE RD",
            "address_2": "STE 3",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880723",
            "telephone_number": "478-988-4663",
            "fax_number": "478-988-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVENGOOD",
        "first_name": "HENRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP6135",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly J Law, D.C.
• Rebecca L Layfield
• Angelita L Leaks
• Jimmy Lee Leary II
• Leavengood Chiropractic, PC
• Carlo C Lee, MD
• Jenna Lee, DMD
• Tonja Simmons Lee
• Tristee Lee
• Legally Laced

• Chiropractor in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.