Organization Active NPI

Ignite Wellness Chiropractic Center

  • Chiropractor
  • Durham, NC
National Provider Identifier
1417359118
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IGNITE WELLNESS CHIROPRACTIC CENTER
Practice address
1413 W NC Highway 54
Durham, NC 27707-5507
Phone
(919) 307-6688
NPI assigned
Sep 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Dr. Avery Nicole Garrabrant, D.C.NPI 1447663935
Title
Chiropractor/Co-Owner
Phone
(941) 468-3907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1413 W NC Highway 54
Durham, NC 27707-5507

Mailing address

1413 W NC Highway 54
Durham, NC 27707-5507
Phone (919) 307-6688

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150413002202 NC Part B Supplier - Clinic/Group Practice 8820316318 Receives reassigned benefits from 2 practitioners
Practice locations: Durham, NC

National Provider Directory

National Provider Directory

Locations

5821 Farrington Rd
Ste 202
Chapel Hill, NC 27517

1413 W NC Highway 54
Durham, NC 27707
Phone (919) 493-6860

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1417359118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 W NC HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075507",
            "telephone_number": "919-307-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 W NC HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075507",
            "telephone_number": "919-307-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE WELLNESS CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "GARRABRANT",
        "authorized_official_first_name": "AVERY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CHIROPRACTOR/CO-OWNER",
        "authorized_official_telephone_number": "941-468-3907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.