NPIMap

Organization Active NPI

Ac Optimal Health

Doing business as Advanced Chiropractic

  • Clinic/Center
  • Saint Marys, GA
National Provider Identifier
1467078287
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AC OPTIMAL HEALTH
Doing business as
Advanced Chiropractic
Advanced Chiropractic Center
Practice address
564 Charlie Smith Sr Hwy
Saint Marys, GA 31558-3000
Phone
(912) 882-7880
NPI assigned
Jun 17, 2020
Last updated
Jun 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Anthony Gabriel Cane, DCNPI 1083181853
Title
Owner
Phone
(229) 938-7002

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

564 Charlie Smith Sr Hwy
Saint Marys, GA 31558-3000

Mailing address

PO Box 5035
Saint Marys, GA 31558-5035
Phone (912) 882-7880

Other names 2

  • Advanced Chiropractic Doing business as
  • Advanced Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200829000143 GA Part B Supplier - Clinic/Group Practice 7517389166 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Marys, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1467078287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5035",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315585035",
            "telephone_number": "912-882-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 CHARLIE SMITH SR HWY",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583000",
            "telephone_number": "912-882-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC OPTIMAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "CANE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-938-7002",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.