Active NPI
Arena Chiropractic Clinic PC
- Chiropractor
- Macon, GA
National Provider Identifier
1487737797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1699
- Legal business name
- ARENA CHIROPRACTIC CLINIC PC
- Practice address
- 2410 Riverside Dr
Macon, GA 31204 - Phone
- (478) 743-0047
- Fax
- (478) 743-0792
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew J Arena, DC
- Title
- President
- Phone
- (478) 743-0047
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1699 | GA | Primary |
Addresses
Primary practice location
2410 Riverside Dr
Macon, GA 31204
Mailing address
2410 Riverside Dr
Macon, GA 31204
Phone (478) 743-0047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00654805A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
2410 Riverside Dr
Macon, GA 31204
Phone (478) 284-1257
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Macon, GA
- NPI 1548449267
-
- Chiropractor
- Macon, GA
- NPI 1700420502
-
- Chiropractor
- Forsyth, GA
- NPI 1619112117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487737797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 RIVERSIDE DR",
"city": "MACON",
"state": "GA",
"postal_code": "31204",
"telephone_number": "478-743-0047",
"fax_number": "478-743-0792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 RIVERSIDE DR",
"city": "MACON",
"state": "GA",
"postal_code": "31204",
"telephone_number": "478-743-0047",
"fax_number": "478-743-0792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARENA CHIROPRACTIC CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ARENA",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "478-743-0047",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "1699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00654805A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.