Individual provider Active NPI

Eric N Codner, DC

  • Chiropractor
  • Americus, GA
National Provider Identifier
1396766879
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO07411 Issued in GA
Practice address
915 Elmo St
Americus, GA 31709-3710
Phone
(229) 389-2038
Fax
(229) 924-9899
NPI assigned
Jul 21, 2006
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO07411 GA Primary

Addresses

Primary practice location

915 Elmo St
Americus, GA 31709-3710

Mailing address

915 Elmo St
Americus, GA 31709-3710
Phone (229) 389-2038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051028000840 GA Practitioner - Chiropractic 8224055561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Physical Medicine Center IncGroup PAC ID 5799920799, 2 clinicians

Practice addresses (Care Compare)

118 Enterprise CT
Suite B
Columbus, GA 31904-9228
Phone (706) 330-1389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO07411GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Physical Medicine Center, Inc. CurrentSince Jan 20, 2015 Accepting new patients
Holistic Chiropractic, LLC Chiropractor PastSince Feb 1, 2005 Accepting new patients
Anthony Vincent Ditaranto MD JD PC Past Accepting new patients
Columbus Joint Pain Solutions and Functional Medicine, LLC PastSince Feb 25, 2024 Accepting new patients
Healthy Living Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

118 Enterprise Ct
Ste B
Columbus, GA 31904
Phone (706) 225-7008

Interoperability endpoints

  • Direct secure messaging: eric.codner@cpmci-ga.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1396766879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 ELMO ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093710",
            "telephone_number": "229-389-2038",
            "fax_number": "229-924-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 ELMO ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093710",
            "telephone_number": "229-389-2038",
            "fax_number": "229-924-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODNER",
        "first_name": "ERIC",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.