Individual provider Active NPI

Jeanette Marie Hieber, D.C.

  • Chiropractor
  • Watkinsville, GA
National Provider Identifier
1427199702
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIIR007191 Issued in GA
Practice address
1580 Mars Hill Rd Ste B
Watkinsville, GA 30677-4836
Phone
(706) 769-9009
Fax
(706) 769-9327
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 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 CHIIR007191 GA Primary

Addresses

Primary practice location

1580 Mars Hill Rd Ste B
Watkinsville, GA 30677-4836

Mailing address

1170 Hunter TRL
Bogart, GA 30622-1570
Phone (678) 753-0465

Other names 1

  • Dr. Jeanette Marie Arundale Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIIR007191GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tjma Incorporated Chiropractor PastSince Nov 17, 2009 Accepting new patients
Health for Life LLC Chiropractor PastSince Jan 10, 2018 Accepting new patients
Healthfirst Family Chiropractic, P.C. Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1427199702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 HUNTER TRL",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306221570",
            "telephone_number": "678-753-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MARS HILL RD STE B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774836",
            "telephone_number": "706-769-9009",
            "fax_number": "706-769-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIEBER",
        "first_name": "JEANETTE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIIR007191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "ARUNDALE",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.