Individual provider Active NPI

Jeremy Adam Hess, D.C.

  • Chiropractor
  • Stockbridge, GA
National Provider Identifier
1407942576
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6576 Issued in GA
Practice address
5532 N Henry Blvd
Stockbridge, GA 30281-3220
Phone
(770) 389-4744
Fax
(770) 389-4760
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 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 6576 GA Primary

Addresses

Primary practice location

5532 N Henry Blvd
Stockbridge, GA 30281-3220

Mailing address

5430 N Henry Blvd
Suite 100
Stockbridge, GA 30281-3269
Phone (770) 389-4744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525000459 GA Practitioner - Chiropractic 7719929231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hess Chiropractic Life Center Inc.Group PAC ID 8527127620, 3 clinicians

Practice addresses (Care Compare)

5430 N Henry Blvd
Suite 100
Stockbridge, GA 30281-3270
Phone (770) 389-4744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6576GAMDChiropractor
006576GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hess Chiropractic Life Center Inc. Chiropractor CurrentSince Jun 1, 2000 Accepting new patients
Glame Chiropractic, Inc Chiropractor Past Accepting new patients

Locations

5430 N Henry Blvd
Ste 100
Stockbridge, GA 30281
Phone (770) 389-4744

5532 N Henry Blvd
Stockbridge, GA 30281
Phone (770) 389-4744

Organizations & group practices 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1407942576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 N HENRY BLVD",
            "address_2": "SUITE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813269",
            "telephone_number": "770-389-4744",
            "fax_number": "770-389-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 N HENRY BLVD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813220",
            "telephone_number": "770-389-4744",
            "fax_number": "770-389-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "JEREMY",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.