Matthew Supnick, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010634 Issued in GA

Practice address

40 Eastbrook BND Ste C
Peachtree City, GA 30269-1567

Phone

(706) 846-2787

NPI assigned

Oct 13, 2021

Last updated

Jul 19, 2022By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

• Healthplus Wellness Center, Inc.

  • Nutrition Chiropractor
  • Marietta, GA
  • NPI 1831397694
  NPD (past)

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1588326821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "318160307",
            "telephone_number": "706-846-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 EASTBROOK BND STE C",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691567",
            "telephone_number": "706-846-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPNICK",
        "first_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amber Samirah Sumbry-Haslett
• Synaptic Speech Therapy, LLC
• Peter Joseph Talisse, DPM
• Grace Taylor, OD
• Jannine Gundersen Taylor, CRNA
• Lucy Tengeri

• Chiropractor in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.