Active NPI
Jason E. Tew, D.C.
- Chiropractor
- Camilla, GA
National Provider Identifier
1619199411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008070
- Practice address
- 124 E Broad St
Camilla, GA 31730-1809 - Phone
- (229) 336-2600
- Fax
- (229) 336-2601
- NPI assigned
- May 2, 2007
- 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 | CHIR008070 | GA | Primary |
Addresses
Primary practice location
124 E Broad St
Camilla, GA 31730-1809
Mailing address
124 E Broad St
P.O. Box 964
Camilla, GA 31730-1809
Phone (229) 336-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619199411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 E BROAD ST",
"address_2": "P.O. BOX 964",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317301809",
"telephone_number": "229-336-2600",
"fax_number": "229-336-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E BROAD ST",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317301809",
"telephone_number": "229-336-2600",
"fax_number": "229-336-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEW",
"first_name": "JASON",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camilla, GA
- Southern Therapeutic Massage Studio LLC
- Southland Bainbridge Hospitalist Group, LLC (Southland Mitchell Hospitalist Group)
- Southwest Georgia Compounding Pharmacy
- James Spann
- Brenda Stephens
- Dedrick Thomas, BA SOCIOLOGY
- Robin Lyn Thomas, P.T.
- Three Rivers Recovery and Wellness LLC
- Total Renal Care Inc (Camilla Dialysis)
- Anozie A Ukaonu, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.