Individual provider Active NPI

Jill Lynn Kachinsky, D.C.

  • Chiropractor
  • Cartersville, GA
National Provider Identifier
1376622233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8029 Issued in GA
Practice address
20 Pointe North Dr
Suite #107
Cartersville, GA 30120-7917
Phone
(770) 607-5428
Fax
(770) 607-9638
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8029 GA Primary

Addresses

Primary practice location

20 Pointe North Dr
Suite #107
Cartersville, GA 30120-7917

Mailing address

20 Pointe North Dr
Suite #107
Cartersville, GA 30120-7917
Phone (770) 607-5428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061212000535 GA Practitioner - Chiropractic 3678460433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

607 N Tennessee St
Cartersville, GA 30120-2824
Phone (770) 607-5428

607 N Tennessee St
Cartersville, GA 30120-7917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8029GAMDPediatric Dentist
001512CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kachinsky Family Chiropractic LLC CurrentSince Nov 6, 2006 Accepting new patients

Locations

607 N Tennessee St
Cartersville, GA 30120
Phone (770) 386-6243

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376622233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 POINTE NORTH DR",
            "address_2": "SUITE #107",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301207917",
            "telephone_number": "770-607-5428",
            "fax_number": "770-607-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 POINTE NORTH DR",
            "address_2": "SUITE #107",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301207917",
            "telephone_number": "770-607-5428",
            "fax_number": "770-607-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHINSKY",
        "first_name": "JILL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "8029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • 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.