George Edward Berbessi, DC
Individual provider Active NPI Chiropractor · Watkinsville, GA
NPI 1619675261 · NPPES record last updated Jun 13, 2023
Key facts
- NPI
- 1619675261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIR010971 (GA)
- Practice address
- 1050 Barber Creek Dr BLDG 200
Watkinsville, GA 30677-4500 - Phone
- (706) 548-8984
- Fax
- (706) 383-7781
- NPI assigned
- Feb 22, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
-
J. Kenneth Cook, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230419000096 | GA | Practitioner - Chiropractic | 7315312659 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR010971 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurospine Atlanta, LLC. | Past |
Accepting new patients | |
| Hamilton Mill Family Complete Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR010971 | GA | Yes |
Addresses
Primary practice location
1050 Barber Creek Dr BLDG 200
Watkinsville, GA 30677-4500
Mailing address
1050 Barber Creek Dr BLDG 200
Watkinsville, GA 30677-4500
Phone (706) 548-8984
Other practice location 1
10158 Commerce Rd
Athens, GA 30607-2309
Phone (706) 362-6995
Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.