Hencock Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HENCOCK CHIROPRACTIC LLC

Doing business as

Wellspot Chiropractic

Practice address

5520 Lilburn Stone Mountain Rd Ste E1
Stone Mountain, GA 30087-2876

Phone

(470) 870-8680

NPI assigned

Dec 5, 2022

Organization subpart

No

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

Authorized official

Name

Lorenil Hencock Boncek, DCNPI 1295343838

Title

Chiropractor

Phone

(470) 503-1551

Specialties & licenses 1

Addresses

Other names 1

• Wellspot 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.

• Lorenil Hencock Boncek, DC

  • Chiropractor
  • Stone Mountain, GA
  • NPI 1295343838
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1578273140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 WARRIOR TRL SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300474152",
            "telephone_number": "470-503-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 LILBURN STONE MOUNTAIN RD STE E1",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872876",
            "telephone_number": "470-870-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENCOCK CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "BONCEK",
        "authorized_official_first_name": "LORENIL",
        "authorized_official_middle_name": "HENCOCK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "470-503-1551",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspot Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Whitney Hermonstine, LMSW

• Clinic/Center in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.