Individual provider Active NPI

Haley Brogden Lance, D.C.

  • Chiropractor
  • Eatonton, GA
National Provider Identifier
1508093741
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008738 Issued in GA
Practice address
946 Harmony Rd
Eatonton, GA 31024-5877
Phone
(706) 991-5320
Fax
(866) 720-5313
NPI assigned
Jun 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008738 GA Primary
Chiropractor 111N00000X 2279 AL

Addresses

Primary practice location

946 Harmony Rd
Eatonton, GA 31024-5877

Mailing address

946 Harmony Rd
Eatonton, GA 31024-5877
Phone (706) 991-5320

Other names 1

  • Dr. Haley Rene Brogden Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cloud2.practiceehr.com/iEHR/Default.aspx

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110907001304 GA Practitioner - Chiropractic 5092860775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Sports, Spine andGroup PAC ID 4486882792, 2 clinicians

Practice addresses (Care Compare)

946 Harmony Rd
Eatonton, GA 31024-5877
Phone (706) 817-4111

Hospital & facility affiliations

  • St Marys Good Samaritan Hospital Hospital, Greensboro, GA, CCN 111329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2279ALMDProfessional Counselor
CHIR008738GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Sports, Spine, & Chiropractor CurrentSince Oct 11, 2013 Accepting new patients
Rose Chiropractic Inc. Chiropractor PastSince Feb 3, 2017 Accepting new patients
Pathways to Healing LLC Past Accepting new patients
Capstone Healing Center Chiropractor PastSince Sep 1, 2020 Accepting new patients

Locations

946 Harmony Rd
Eatonton, GA 31024
Phone (706) 817-4111

118A S Main St
Greensboro, GA 30642
Phone (706) 817-4111

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1508093741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 HARMONY RD",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310245877",
            "telephone_number": "706-991-5320",
            "fax_number": "866-720-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 HARMONY RD",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310245877",
            "telephone_number": "706-991-5320",
            "fax_number": "866-720-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCE",
        "first_name": "HALEY",
        "middle_name": "BROGDEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008738",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cloud2.practiceehr.com/iEHR/Default.aspx",
            "affiliation": "N",
            "address_1": "946 Harmony Rd",
            "city": "Eatonton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310245877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "BROGDEN",
            "middle_name": "RENE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.