Individual provider Active NPI

Maggie Estelle Tobin, DC

  • Chiropractor
  • Tallapoosa, GA
National Provider Identifier
1609496769
Registry record updated Apr 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010356 Issued in GA
Practice address
145 Head Ave
Tallapoosa, GA 30176-1260
Phone
(770) 574-5005
Fax
(770) 574-5006
NPI assigned
Apr 19, 2020
Last updated
Apr 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010356 GA Primary

Addresses

Primary practice location

145 Head Ave
Tallapoosa, GA 30176-1260

Mailing address

145 Head Ave
Tallapoosa, GA 30176-1260
Phone (770) 574-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200512000291 GA Practitioner - Chiropractic 9739510538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Chiropractic Solutions, L.L.C.Group PAC ID 6406934017, 2 clinicians

Practice addresses (Care Compare)

145 Head Ave
Tallapoosa, GA 30176-1260
Phone (770) 574-5005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic Solutions, L.L.C. Chiropractor CurrentSince Apr 29, 2020 Accepting new patients

Locations

145 Head Ave
Tallapoosa, GA 30176
Phone (770) 574-5005

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1587254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587254400000",
    "number": "1609496769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HEAD AVE",
            "city": "TALLAPOOSA",
            "state": "GA",
            "postal_code": "301761260",
            "telephone_number": "770-574-5005",
            "fax_number": "770-574-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HEAD AVE",
            "city": "TALLAPOOSA",
            "state": "GA",
            "postal_code": "301761260",
            "telephone_number": "770-574-5005",
            "fax_number": "770-574-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "MAGGIE",
        "middle_name": "ESTELLE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-19",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallapoosa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.