Chiropractic Game Changers, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008695 Issued in GA

Legal business name

CHIROPRACTIC GAME CHANGERS, LLC

Practice address

2615 E West Connector Ste 108
Austell, GA 30106-6854

Phone

(770) 943-1425

Fax

(770) 943-1452

NPI assigned

Aug 23, 2017

Organization subpart

No

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

Authorized official

Name

Samuel ClavellNPI 1528374162

Title

Owner/DC

Phone

(770) 943-1425

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LifeGiving Chiropractic 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.

• Samuel Clavell, D.C.

  • Chiropractor
  • Austell, GA
  • NPI 1528374162
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1538686258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 E WEST CONNECTOR STE 108",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301066854",
            "telephone_number": "770-943-1425",
            "fax_number": "770-943-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E WEST CONNECTOR STE 108",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301066854",
            "telephone_number": "770-943-1425",
            "fax_number": "770-943-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC GAME CHANGERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "CLAVELL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER/DC",
        "authorized_official_telephone_number": "770-943-1425"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "CHIR008695",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeGiving Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Kibet Chemwor, RPH
• Rebecca Faye Chester, LCSW
• Children'S Medical Associates, LLC
• Children'S Medical Center, P.a.
• Childrens Dentistry of Austell
• Harini Chittineni, MD
• Sarah Choi-Wilbur
• Leslie A Choy-Hee, MD
• Renee Christie
• Nancy Chung, PHYSICIAN ASSISTANT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.