Care Medical Center LLC
Organization Active NPI Chiropractor · Jesup, GA
NPI 1417644261 · NPPES record last updated Apr 21, 2023
Key facts
- NPI
- 1417644261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CARE MEDICAL CENTER LLC
- Practice address
- 936 S 1St St
Jesup, GA 31545-0332 - Phone
- (912) 427-3444
- Fax
- (912) 427-3411
- NPI assigned
- Apr 21, 2023
- Organization subpart
- No
Authorized official
- Name
- James Ryan Moorman
- Title
- Owner
- Phone
- (229) 241-8925
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 5
Practitioners 29
-
Barry Arem, P.T.
-
William Gaines Dobbins, NP-C
-
Wiley Ladon Drury, M.D.
-
Tambrea Toylett Ellison, M.D.
-
Richard Eugene Gieck, PA-C
-
Joshua Hughes, ANP-BC
-
Kacie Parrish Johnson, N.P.
-
John Lefand Jr., D.C.
-
Dara Merritt, APRN FNP-C
-
Mitchell Scott Mink, D.C.
-
J. Ryan Moorman, D.C.
-
Kishan Patel, DPT
-
Kate E Paylo, D.O.
-
Hewatt M Sims, MD
-
Kristy A Weems, PT
-
Trevor Ambron, PA-C
-
Douglas E Boler, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050201000493 | GA | Part B Supplier - Clinic/Group Practice | 6406807015 |
Receives reassigned benefits from 51 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tifton, GA; Waycross, GA; Valdosta, GA; Nashville, GA; Jesup, GA; Douglas, GA; Brunswick, GA; Adel, GA |
| O20241031002537 | GA | DME Supplier - Physician - Physical and Rehabilitation | 6406807015 | Practice locations: Jesup, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician |
2081P2900X | |||
| Physical Therapist |
225100000X |
Addresses
Primary practice location
936 S 1St St
Jesup, GA 31545-0332
Mailing address
2804 N Oak St Ste C
Valdosta, GA 31602-5913
Phone (229) 241-8925
Other names
- Absolute Precision Chiropractic
Other providers in Jesup, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.