Chaz Ebert, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008601 Issued in GA

Practice address

2410 Hog Mountain Rd
Ste. 301
Watkinsville, GA 30677-4811

Phone

(708) 267-4756

NPI assigned

Mar 24, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Full Potential Chiropractic LLC

  • Chiropractor
  • Watkinsville, GA
  • NPI 1588094411
  Authorized official Same address or phone

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1609190370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 HOG MOUNTAIN RD",
            "address_2": "301",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774811",
            "telephone_number": "708-267-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 HOG MOUNTAIN RD",
            "address_2": "STE. 301",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774811",
            "telephone_number": "708-267-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "CHAZ",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-24",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008601",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4607-12",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Alan Earhart, M.D.
• East Georgia Care Solution Inc. (Home Instead Senior Care)
• Eastern Atlanta Behavioral Health LLC
• Eastside Chiropractic
• Easy Care Wellness LLC
• Edelweiss PD, LLC (Healthy Smiles)
• Kelsey Edenfield, BCBA
• Frankie Allen Edens Jr.
• Rielly Shea Edling
• Alice L Edwards, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; 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.