Active NPI
Donald Louis Longhurst, B.S., D.C.
- Chiropractor
- Cartersville, GA
National Provider Identifier
1437348729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008261
- Practice address
- 911 N Tennessee St
Ste 105
Cartersville, GA 30120-8514 - Phone
- (678) 995-8475
- NPI assigned
- Oct 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CHIR008261 | GA | |
| Chiropractor | 111N00000X | CHIR008261 | GA | Primary |
Addresses
Primary practice location
911 N Tennessee St
Ste 105
Cartersville, GA 30120-8514
Mailing address
2 Shadow LN
Cartersville, GA 30120-2321
Phone (678) 525-8583
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11844411 | Other | GA | CAQH |
| 8251342 | Other | GA | CIGNA |
| 52238714-001 | Other | GA | BCBS-GA |
| 9966131 | Other | GA | AETNA |
| 1102822 | Other | GA | ASHN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081006000454 | GA | Practitioner - Chiropractic | 3072681907 | Practice locations: Cartersville, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
911 N Tennessee St
Suite 105
Cartersville, GA 30120-2490
Phone (678) 995-8475
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449878400000",
"number": "1437348729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SHADOW LN",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301202321",
"telephone_number": "678-525-8583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 N TENNESSEE ST",
"address_2": "STE 105",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301208514",
"telephone_number": "678-995-8475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGHURST",
"first_name": "DONALD",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "B.S., D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-23",
"last_updated": "2015-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "GA",
"license": "CHIR008261",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11844411",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8251342",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-GA",
"identifier": "52238714-001",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9966131",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN",
"identifier": "1102822",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2015; 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.