Dr. Jen Rocks, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009588 Issued in GA

Legal business name

DR. JEN ROCKS, LLC

Practice address

208 Scranton Connector Ste 120
Brunswick, GA 31525-0561

Phone

(912) 264-2244

Fax

(404) 855-4381

NPI assigned

Jan 19, 2010

Organization subpart

No

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

Authorized official

Name

Jennifer Renee Heller, DCNPI 1962732669

Title

Owner

Phone

(912) 264-2244

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Renee Heller, D.C.

  • Chiropractor
  • Brunswick, GA
  • NPI 1962732669
  Medicare reassignment Authorized official
• Kacey Stokes, PA-C

  • Physician Assistant
  • Brunswick, GA
  • NPI 1013468883
  Medicare reassignment

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1346571148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SCRANTON CONNECTOR STE 120",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250561",
            "telephone_number": "912-264-2244",
            "fax_number": "404-855-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SCRANTON CONNECTOR STE 120",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250561",
            "telephone_number": "912-264-2244",
            "fax_number": "404-855-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JEN ROCKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-264-2244",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009039698",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962732669",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "EA2937",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "P02546258",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyrsten Lee Dowling, PT, DPT
• Dr Craig Staab and Associates P C
• Dr John T Wilson PC
• Dr R McEwan PC
• Dr. David L. Lawson, M.D., P.C.
• Dr. Scott L. Tarplee, D.O.
• Regina Drake, NP
• Rose P Draviam, M. D.
• Dublin Vamc
• Lindsey Keen Duffy, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.