Mark W Vandine

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO1988 Issued in GA

Legal business name

MARK W VANDINE

Doing business as

Accident and Injury Chiropractic Center

Practice address

27 Bullsboro Dr
Newnan, GA 30263-1570

Phone

(770) 251-3238

Fax

(770) 251-5340

NPI assigned

Dec 12, 2007

Last updated

Dec 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Angela M Pierce

Title

Billing Assistant

Phone

(770) 251-3238

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ACCIDENT AND INJURY CHIROPRACTIC CENTER Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Wayne Vandine, DC

  • Chiropractor
  • Newnan, GA
  • NPI 1487869491
  NPD (past)

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1588847552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BULLSBORO DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631570",
            "telephone_number": "770-251-3238",
            "fax_number": "770-251-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BULLSBORO DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631570",
            "telephone_number": "770-251-3238",
            "fax_number": "770-251-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W VANDINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING ASSISTANT",
        "authorized_official_telephone_number": "770-251-3238",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO1988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "006501",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCIDENT AND INJURY CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Graham Marchman, PT, DPT
• Thomas Baker Marchman, DMD
• Belinda Elaine Marcus, MD
• Alexa Mariles
• Mark Lynn OD & Associates PC (Visionworks)
• Ian Marks, M.D.
• Christine Elaine Marrero
• Susan Renee' Marsalis
• Samantha Marsh
• Christopher B Marshall

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.