Active NPI
Carl Franklin Sircy, D.C.
- Chiropractor
- Moultrie, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 005944
- Practice address
- 720 S Main St
Moultrie, GA 31768-5450 - Phone
- (229) 985-1370
- NPI assigned
- Oct 15, 2007
- Last updated
- Feb 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 005944 | GA | Primary |
Addresses
Primary practice location
720 S Main St
Moultrie, GA 31768-5450
Mailing address
720 S. Main St.
Moultrie, GA 31768
Phone (229) 985-1370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000958944A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
714 S Main St
Moultrie, GA 31768-5433
Phone (229) 985-1370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005944 | GA | MD | Chiropractor |
| 5944 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Georgia Clinic of Chiropractic Medicine | Chiropractor | Current | Accepting new patients |
| Arrowhead Clinic, Inc. | Chiropractor | Past | Accepting new patients |
| Athens Chiropractic & Therapy | Chiropractor | Past | Accepting new patients |
Locations
714 S Main St
Moultrie, GA 31768
Phone (229) 985-1270
720 S Main St
Moultrie, GA 31768
Phone (229) 985-1370
Organizations & group practices 3
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.
-
dba Sircy Chiropractic Clinic
- Chiropractor
- Moultrie, GA
- NPI 1659444545
-
- Chiropractor
- Jonesboro, GA
- NPI 1003835224
-
- Exclusive Provider Organization
- Athens, GA
- NPI 1851575500
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1578751665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S. MAIN ST.",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "31768",
"telephone_number": "229-985-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 S MAIN ST",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317685450",
"telephone_number": "229-985-1370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRCY",
"first_name": "CARL",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-15",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "005944",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000958944A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moultrie, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.