Active NPI
Charles Nolan Stephens, D.C
- Rehabilitation Chiropractor
- Milledgeville, GA
National Provider Identifier
1346396405
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(14) exclusion effective Jan 30, 2009.
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 4889
- Practice address
- 961 N. Columbia St.
Milledgeville, GA 31061 - Phone
- (478) 452-6162
- Fax
- (478) 452-9678
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 4889 | GA | Primary |
| Chiropractor | 111N00000X | 4889 | GA |
Addresses
Primary practice location
961 N. Columbia St.
Milledgeville, GA 31061
Mailing address
961 N. Columbia St.
Milledgeville, GA 31061
Phone (478) 452-6162
Other names 1
- C. Nolan Stephens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4889 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hands Chiropractic | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Milledgeville, GA
- NPI 1932396272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1346396405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "961 N. COLUMBIA ST.",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "31061",
"telephone_number": "478-452-6162",
"fax_number": "478-452-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "961 N. COLUMBIA ST.",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "31061",
"telephone_number": "478-452-6162",
"fax_number": "478-452-9678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "CHARLES",
"middle_name": "NOLAN",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "4889",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "4889",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "C. NOLAN",
"last_name": "STEPHENS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.