Organization Active NPI

Floranne Cruz. LLC

  • Chiropractor
  • Statesboro, GA
National Provider Identifier
1467216044
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FLORANNE CRUZ. LLC
Practice address
116 Savannah Ave
Statesboro, GA 30458-4801
Phone
(912) 243-9200
Fax
(912) 243-9207
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Dyshan L Smith
Title
General Manager
Phone
(912) 243-9200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

116 Savannah Ave
Statesboro, GA 30458-4801

Mailing address

116 Savannah Ave
Statesboro, GA 30458-4801
Phone (912) 243-9200

Other practice location 1

414 Lugenia Blvd
Vidalia, GA 30474-7210
Phone (912) 685-9200

Other practice location 2

154 S LeRoy St
Metter, GA 30439-4631
Phone (912) 687-9200

Other names 1

  • SOUTHERN CHIROPRACTIC & WELLNESS CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250618001260 GA Part B Supplier - Clinic/Group Practice 5193260834 Receives reassigned benefits from 1 practitioner
Practice locations: Statesboro, GA

National Provider Directory

National Provider Directory

Locations

414 Lugenia Dr
Vidalia, GA 30474
Phone (912) 537-9355

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": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1467216044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SAVANNAH AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584801",
            "telephone_number": "912-243-9200",
            "fax_number": "912-243-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SAVANNAH AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584801",
            "telephone_number": "912-243-9200",
            "fax_number": "912-243-9207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 LUGENIA BLVD",
            "address_purpose": "LOCATION",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304747210",
            "country_code": "US",
            "telephone_number": "912-685-9200",
            "fax_number": "912-243-9207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "154 S LeRoy St",
            "address_purpose": "LOCATION",
            "city": "Metter",
            "state": "GA",
            "postal_code": "304394631",
            "country_code": "US",
            "telephone_number": "912-687-9200",
            "fax_number": "912-243-9207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORANNE CRUZ. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DYSHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "912-243-9200"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN CHIROPRACTIC & WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTHERN CHIROPRACTIC & WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.