Bethanie Hansen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010011 Issued in GA

Practice address

2125 Pace St Ste B
Covington, GA 30014-6660

Phone

(770) 786-2818

NPI assigned

Mar 8, 2018

Last updated

Mar 8, 2018By the provider in NPPES

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 FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revolution Chiropractic LLCGroup PAC ID 2163701145, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Revolution Chiropractic LLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1124576566
  Medicare reassignment Care Compare group
• Covington Family Chiropractic LLC

  • Chiropractor
  • Covington, GA
  • NPI 1942602875
  NPD (past)

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1538661202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 GLENWOOD AVE SE APT 225",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161994",
            "telephone_number": "231-409-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 PACE ST STE B",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146660",
            "telephone_number": "770-786-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "BETHANIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hankins Healthcare
• Timothy Hanley
• Hanowell Pain Management LLC
• Hanowell Spine Clinic LLC
• Michael Dalton Hanowell, M.D.
• Susan C. Hansen, CRNA
• Mark C Hanson, M.D.
• Doris Huff Hardeman
• Keynia Dionne Hardley, LMFT
• Ansley Nichole Hardy, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.