Dr. James a. Powell, Jr., D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7050 Issued in GA

Legal business name

DR. JAMES A. POWELL, JR., D.C., P.C.

Doing business as

Powell Chiropractic Center

Practice address

1444 Tift Ave N
Ste B
Tifton, GA 31794-4618

Phone

(229) 382-3210

Fax

(229) 382-3213

NPI assigned

Sep 8, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James Ambus Powell Jr., DCNPI 1124214689

Title

Owner/President

Phone

(229) 382-3210

Specialties & licenses 1

Addresses

Other names 1

• Powell Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Ambus Powell Jr., D.C.

  • Chiropractor
  • Tifton, GA
  • NPI 1124214689
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1528052248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 TIFT AVE N",
            "address_2": "STE B",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944618",
            "telephone_number": "229-382-3210",
            "fax_number": "229-382-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 TIFT AVE N",
            "address_2": "STE B",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944618",
            "telephone_number": "229-382-3210",
            "fax_number": "229-382-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAMES A. POWELL, JR., D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "AMBUS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "229-382-3210",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "7050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powell Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shyann Dorough, OTR/L
• Terresa Ann Dorsey, FNP
• Kelley P Douglas, MD
• Dontre M Douse, MD
• Carly B Downs, DC
• Justin Phillip Drew, RPH
• Lindsay Drew, FNP
• Anna Driggers, CRNA
• Dublin Vamc
• Cindia Poole Dubravcic, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.