NPIMap

Organization Active NPI

Hess Chiropractic Life Center Inc.

  • Chiropractor
  • Stockbridge, GA
National Provider Identifier
1457504367
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006576 Issued in GA
Legal business name
HESS CHIROPRACTIC LIFE CENTER INC.
Doing business as
Jeremy A Hess
Practice address
5532 N Henry Blvd
Stockbridge, GA 30281-3220
Phone
(770) 389-4744
Fax
(770) 979-2275
NPI assigned
Oct 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Jeremy A Hess, DCNPI 1407942576
Title
Chiropractor
Phone
(770) 389-4744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006576 GA Primary

Addresses

Primary practice location

5532 N Henry Blvd
Stockbridge, GA 30281-3220

Mailing address

5532 N Henry Blvd
Stockbridge, GA 30281-3220
Phone (770) 389-4744

Other names 1

  • Jeremy A Hess Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081104000579 GA Part B Supplier - Clinic/Group Practice 8527127620 Receives reassigned benefits from 4 practitioners
Practice locations: Stockbridge, GA

National Provider Directory

National Provider Directory

Locations

5532 N Henry Blvd
Stockbridge, GA 30281
Phone (770) 389-4744

Practitioners & affiliated clinicians

Practitioners 4

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": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1457504367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 N HENRY BLVD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813220",
            "telephone_number": "770-389-4744",
            "fax_number": "770-979-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 N HENRY BLVD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813220",
            "telephone_number": "770-389-4744",
            "fax_number": "770-979-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HESS CHIROPRACTIC LIFE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "770-389-4744",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeremy A Hess",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.