Bohland Family Chiropractic Clinic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5293 Issued in GA

Legal business name

BOHLAND FAMILY CHIROPRACTIC CLINIC INC.

Practice address

3939 Jodeco Rd
McDonough, GA 30253-5477

Phone

(770) 898-9888

Fax

(770) 898-5758

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Valerie Joy Bohland, DCNPI 1740368182

Title

Dr/Owner

Phone

(770) 898-9888

Specialties & licenses 1

Addresses

Other names 1

• Reis Chiropractic Clinic Inc Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Valerie Joy Bohland, D.C.

  • Independent Medical Examiner Chiropractor
  • McDonough, GA
  • NPI 1740368182
  Medicare reassignment NPD Authorized official
• Lawson Reis, LMT

  • Massage Therapist
  • McDonough, GA
  • NPI 1124957899
  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1578737805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 JODECO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535477",
            "telephone_number": "770-898-9888",
            "fax_number": "770-898-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 JODECO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535477",
            "telephone_number": "770-898-9888",
            "fax_number": "770-898-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOHLAND FAMILY CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "BOHLAND",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "770-898-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Medisoft",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Clinicals",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "3939 Jodeco Rd",
            "city": "McDonough",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302535477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Reis Chiropractic Clinic Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Reis Chiropractic Clinic Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.