Individual provider Active NPI

Jennifer Leever Boczar, D.C.

  • Chiropractor
  • Brunswick, GA
National Provider Identifier
1396753687
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO07209 Issued in GA
Practice address
92 Village at Glynn PL
Brunswick, GA 31525-1993
Phone
(912) 264-1806
Fax
(912) 264-1808
NPI assigned
Aug 3, 2006
Last updated
Sep 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO07209 GA Primary

Addresses

Primary practice location

92 Village at Glynn PL
Brunswick, GA 31525-1993

Mailing address

92 Village at Glynn PL
Brunswick, GA 31525-1993
Phone (912) 264-1806

Other names 1

  • Dr. Jenni Leever Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000171 GA Practitioner - Chiropractic 5193798551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Family Health ChiropracticGroup PAC ID 4486626868, 3 clinicians

Practice addresses (Care Compare)

92 Village at Glynn PL
Brunswick, GA 31525-1993
Phone (912) 261-0806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO07209GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Chiropractic CurrentSince Apr 1, 2002 Accepting new patients

Locations

712 Mall Blvd
Brunswick, GA 31525
Phone (912) 262-9735

92 Village At Glynn Pl
Brunswick, GA 31525
Phone (912) 261-0806

Interoperability endpoints

  • Direct secure messaging: jboczar@fhci0001.direct.chirotouch.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1396753687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 VILLAGE AT GLYNN PL",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251993",
            "telephone_number": "912-264-1806",
            "fax_number": "912-264-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 VILLAGE AT GLYNN PL",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251993",
            "telephone_number": "912-264-1806",
            "fax_number": "912-264-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCZAR",
        "first_name": "JENNIFER",
        "middle_name": "LEEVER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNI",
            "last_name": "LEEVER",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.