Organization Active NPI

Vidalia Family Chiropractic, PC

  • Chiropractor
  • Vidalia, GA
National Provider Identifier
1447466776
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VIDALIA FAMILY CHIROPRACTIC, PC
Practice address
305 E 3Rd St
Vidalia, GA 30474-4604
Phone
(912) 537-2016
Fax
(912) 537-2018
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Janice Lawrence, DC
Title
Owner
Phone
(912) 537-2016

Specialties & licenses 1

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

Addresses

Primary practice location

305 E 3Rd St
Vidalia, GA 30474-4604

Mailing address

305 E 3Rd St
Vidalia, GA 30474-4604
Phone (912) 537-2016

National Provider Directory

National Provider Directory

Locations

305 E 3rd St
Vidalia, GA 30474
Phone (912) 537-2016

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447466776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E 3RD ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744604",
            "telephone_number": "912-537-2016",
            "fax_number": "912-537-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 3RD ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744604",
            "telephone_number": "912-537-2016",
            "fax_number": "912-537-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDALIA FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-537-2016",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.