Active NPI
New Life Chiropractic
- Chiropractor
- Wrens, GA
National Provider Identifier
1609205285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008812
- Legal business name
- NEW LIFE CHIROPRACTIC
- Practice address
- 305 N Main St
Wrens, GA 30833-1140 - Phone
- (706) 547-0007
- Fax
- (706) 547-0009
- NPI assigned
- Nov 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rachael Anne Templeton, DC
- Title
- Owner
- Phone
- (706) 547-0007
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008812 | GA | Primary |
Addresses
Primary practice location
305 N Main St
Wrens, GA 30833-1140
Mailing address
305 N Main St
Wrens, GA 30833-1140
Phone (706) 547-0007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131126000778 | GA | Part B Supplier - Clinic/Group Practice | 4688800410 |
Receives reassigned benefits from 1 practitioner Practice locations: Louisville, GA; Wrens, GA |
National Provider Directory
National Provider DirectoryLocations
305 N Main St
Wrens, GA 30833
Phone (706) 547-0007
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Statesboro, GA
- NPI 1407187735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383609600000",
"number": "1609205285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 N MAIN ST",
"city": "WRENS",
"state": "GA",
"postal_code": "308331140",
"telephone_number": "706-547-0007",
"fax_number": "706-547-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 N MAIN ST",
"city": "WRENS",
"state": "GA",
"postal_code": "308331140",
"telephone_number": "706-547-0007",
"fax_number": "706-547-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-05",
"last_updated": "2013-11-05",
"status": "A",
"authorized_official_last_name": "TEMPLETON",
"authorized_official_first_name": "RACHAEL",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-547-0007",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wrens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.