Xyz Medical

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

26097 Issued in GA

Legal business name

XYZ MEDICAL

Practice address

9 Russell Dr Ste 201
Ellijay, GA 30540-5573

Phone

(706) 698-9679

Fax

(706) 698-9678

NPI assigned

Jun 26, 2018

Last updated

Jun 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert W Lee, DCNPI 1124128293

Title

Owner

Phone

(706) 698-9679

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Robert W Lee, DC

  • Chiropractor
  • Ellijay, GA
  • NPI 1124128293
  Authorized official Same address or phone

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1346735982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RUSSELL DR STE 201",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405573",
            "telephone_number": "706-698-9679",
            "fax_number": "706-698-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RUSSELL DR STE 201",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405573",
            "telephone_number": "706-698-9679",
            "fax_number": "706-698-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XYZ MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-698-9679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "26097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carley Whitlow
• Willow Creek Adolescent Substance Abuse Program
• Willow Creek Substance Abuse Program
• Cassandra L Wilson, MD
• Judy Carol Wright
• Grayson York
• Suzanne Young, APRN, WHNP-BC
• Erica Allyne Zippel, DPT

• Physical Medicine & Rehabilitation Physician in Ellijay, GA
• Providers in Ellijay, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.