Active NPI
Marcus Evans Overstreet, DC
- Chiropractor
- Cordele, GA
National Provider Identifier
1598254682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR010001
- Practice address
- 301 E 14TH Ave
Cordele, GA 31015-1424 - Phone
- (229) 273-1878
- Fax
- (229) 513-3194
- NPI assigned
- May 4, 2018
- Last updated
- May 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | CHIR010001 | GA | Primary |
Addresses
Primary practice location
301 E 14TH Ave
Cordele, GA 31015-1424
Mailing address
301 E 14TH Ave
Cordele, GA 31015-1424
Phone (229) 273-1878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181112000018 | GA | Practitioner - Chiropractic | 6608120639 | Practice locations: Cordele, GA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525392000000",
"number": "1598254682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E 14TH AVE",
"city": "CORDELE",
"state": "GA",
"postal_code": "310151424",
"telephone_number": "229-273-1878",
"fax_number": "229-513-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E 14TH AVE",
"city": "CORDELE",
"state": "GA",
"postal_code": "310151424",
"telephone_number": "229-273-1878",
"fax_number": "229-513-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERSTREET",
"first_name": "MARCUS",
"middle_name": "EVANS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-04",
"last_updated": "2018-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR010001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordele, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.