Individual provider Active NPI

George Alexander Limbanovnos, D.C.

  • Chiropractor
  • Weddington, NC
National Provider Identifier
1396767299
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2716 Issued in NC
Practice address
1934 Weddington Rd
Weddington, NC 28104-8318
Phone
(704) 321-0656
Fax
(704) 321-0092
NPI assigned
Jul 23, 2006
Last updated
Jan 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2716 NC Primary

Addresses

Primary practice location

1934 Weddington Rd
Weddington, NC 28104-8318

Mailing address

1934 Weddington Rd
Weddington, NC 28104-8318
Phone (704) 321-0656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511001158 NC Practitioner - Chiropractic 1557350857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Family Chiropractic Center PAGroup PAC ID 1355348426, 2 clinicians

Practice addresses (Care Compare)

8019 Ardrey Kell Rd
Charlotte, NC 28277-5716
Phone (704) 321-0656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2716NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Chiropractic Center PA Chiropractor CurrentSince Apr 1, 2000 Accepting new patients

Locations

8019 Ardrey Kell Rd
Charlotte, NC 28277
Phone (704) 321-0656

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1396767299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 WEDDINGTON RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281048318",
            "telephone_number": "704-321-0656",
            "fax_number": "704-321-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 WEDDINGTON RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281048318",
            "telephone_number": "704-321-0656",
            "fax_number": "704-321-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMBANOVNOS",
        "first_name": "GEORGE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weddington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.