Individual provider Active NPI

Louis M. Okun, D.C.

  • Chiropractor
  • Union City, GA
National Provider Identifier
1477669752
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR002848 Issued in GA
Practice address
6703 Shannon Pkwy
Suite # 13-14
Union City, GA 30291-2073
Phone
(770) 964-3334
Fax
(770) 306-2680
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR002848 GA Primary

Addresses

Primary practice location

6703 Shannon Pkwy
Suite # 13-14
Union City, GA 30291-2073

Mailing address

6703 Shannon Pkwy
Suite # 13-14
Union City, GA 30291-2073
Phone (770) 964-3334

Other identifiers 1

IdentifierTypeStateIssuer
58-2155004OtherGATAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120201000149 GA Practitioner - Chiropractic 8820255904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Okun, PCGroup PAC ID 7113184383, 2 clinicians

Practice addresses (Care Compare)

6703 Shannon
Suite 14
Union City, GA 30291-2073
Phone (770) 964-3334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2848GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Okun, PC Chiropractor CurrentSince Dec 6, 1994 Accepting new patients

Locations

6703 Shannon Pkwy
Ste 1314
Union City, GA 30291
Phone (770) 964-3334

6703 Shannon Pkwy
#1314
Union City, GA 30291
Phone (770) 964-3334

6703 Shannon Pkwy
Ste 14
Union City, GA 30291
Phone (770) 964-3334

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1477669752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6703 SHANNON PKWY",
            "address_2": "SUITE # 13-14",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912073",
            "telephone_number": "770-964-3334",
            "fax_number": "770-306-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 SHANNON PKWY",
            "address_2": "SUITE # 13-14",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912073",
            "telephone_number": "770-964-3334",
            "fax_number": "770-306-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUN",
        "first_name": "LOUIS",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "58-2155004",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.