Organization Active NPI

Claxton Chiropractic LLC

  • Chiropractor
  • Claxton, GA
National Provider Identifier
1619102761
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06080 Issued in GA
Legal business name
CLAXTON CHIROPRACTIC LLC
Practice address
8 W Liberty St
Claxton, GA 30417-2042
Phone
(912) 739-8311
Fax
(912) 739-8314
NPI assigned
May 19, 2009
Last updated
Jan 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Dr. Terri Lynn Norburg, D.C.NPI 1760542195
Title
Owner
Phone
(912) 739-8311

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 06080 GA Primary

Addresses

Primary practice location

8 W Liberty St
Claxton, GA 30417-2042

Mailing address

PO Box 777
Claxton, GA 30417-0777
Phone (912) 739-8311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090622000039 GA Part B Supplier - Clinic/Group Practice 1052462736 Receives reassigned benefits from 1 practitioner
Practice locations: Claxton, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1619102761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304170777",
            "telephone_number": "912-739-8311",
            "fax_number": "912-739-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W LIBERTY ST",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304172042",
            "telephone_number": "912-739-8311",
            "fax_number": "912-739-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAXTON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "NORBURG",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-739-8311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "06080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claxton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.

Verify at the official NPI Registry.