Sheryona Lapatrice Green-Owusu, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010835 Issued in GA

Practice address

2169 Ingleside Ave
Macon, GA 31204-2029

Phone

(478) 474-2344

NPI assigned

Jan 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renovation Chiropractic, Inc.Group PAC ID 1951534668, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Renovation Chiropractic, Inc.

  • Chiropractor
  • Warner Robins, GA
  • NPI 1184048092
  Medicare reassignment Care Compare group NPD
• G. Clark Stull, DC PC

  • Chiropractor
  • Macon, GA
  • NPI 1811516891
  NPD

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1508570839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 WATSON BLVD STE 5",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310939527",
            "telephone_number": "478-333-6134",
            "fax_number": "478-333-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 INGLESIDE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042029",
            "telephone_number": "478-474-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-OWUSU",
        "first_name": "SHERYONA",
        "middle_name": "LAPATRICE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy L Graves, MD
• Alexis Passmore Gray, RN
• Arthur R Gray Jr., MD
• Misty Gray, OTR
• Woodrow Wilson Gray Jr., MD PHD
• Clyde O. Green, MD
• Kimberly Dainelle Green
• Maureen Green, NP
• Melissa V. Green, M.S.
• Ted Adam Green, RPH

• Chiropractor in Macon, GA
• Providers in Macon, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.