Organization Active NPI

Zellweger Family Chiropractic

  • Chiropractor
  • Pooler, GA
National Provider Identifier
1447718036
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ZELLWEGER FAMILY CHIROPRACTIC
Doing business as
Pooler Family Chiropractic
Practice address
1017 US Highway 80 E Ste 17
Pooler, GA 31322-9533
Phone
(912) 748-9125
NPI assigned
Mar 4, 2019
Organization subpart
Yes
Parent organization
ZELLWEGER FAMILY CHIROPRACTICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Justin Dale Zellweger, DC
Title
President
Phone
(843) 706-2378

Specialties & licenses 1

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

Addresses

Primary practice location

1017 US Highway 80 E Ste 17
Pooler, GA 31322-9533

Mailing address

1 Mallett Way Ste 102
Bluffton, SC 29910-6066
Phone (843) 706-2378

Other names 1

  • Pooler Family Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Zellweger Family Chiropractic3 organizations share this tax ID, including this one
Part of
Zellweger Family Chiropractic

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1017 US Highway 80 E
Ste 17
Pooler, GA 31322
Phone (912) 748-9125

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1447718036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MALLETT WAY STE 102",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106066",
            "telephone_number": "843-706-2378",
            "fax_number": "843-706-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 US HIGHWAY 80 E STE 17",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229533",
            "telephone_number": "912-748-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZELLWEGER FAMILY CHIROPRACTIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZELLWEGER FAMILY CHIROPRACTIC",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "ZELLWEGER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-706-2378",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pooler Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.