NPIMap

Organization Active NPI

Care Medical Center LLC

  • Chiropractor
  • Waycross, GA
National Provider Identifier
1376236232
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CARE MEDICAL CENTER LLC
Practice address
1411 Alice St
Waycross, GA 31501-4528
Phone
(912) 282-2989
Fax
(912) 282-1676
NPI assigned
May 29, 2023
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CARE MEDICAL CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
James Ryan Moorman
Title
DC, Owner
Phone
(229) 241-8925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1411 Alice St
Waycross, GA 31501-4528

Mailing address

2804 N Oak St Ste C
Valdosta, GA 31602-5913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050201000493 GA Part B Supplier - Clinic/Group Practice 6406807015 Receives reassigned benefits from 51 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tifton, GA; Waycross, GA; Valdosta, GA; Nashville, GA; Jesup, GA; Douglas, GA; Brunswick, GA; Adel, GA
O20250528001220 GA DME Supplier - Multi-Specialty - Physician 6406807015 Practice locations: Waycross, GA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Care Medical Center LLC

Locations

105 N Parrish Ave
Adel, GA 31620
Phone (229) 896-2250

915 20th St W
Tifton, GA 31794
Phone (229) 382-5857

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1376236232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 N OAK ST STE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316025913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014528",
            "telephone_number": "912-282-2989",
            "fax_number": "912-282-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE MEDICAL CENTER LLC",
        "enumeration_date": "2023-05-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "MOORMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DC, OWNER",
        "authorized_official_telephone_number": "229-241-8925"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.