Case Chiropractic Neurology Center LLC
Organization Active NPI Chiropractor · Saint Marys, GA
NPI 1619681863 · NPPES record last updated Jan 12, 2023
Key facts
- NPI
- 1619681863
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CASE CHIROPRACTIC NEUROLOGY CENTER LLC
- Practice address
- 775 Kingsbay Rd Ste a
Saint Marys, GA 31558-3886 - Phone
- (912) 576-1234
- Fax
- (912) 510-5000
- NPI assigned
- Jan 12, 2023
- Organization subpart
- No
Authorized official
- Name
- Marc Charles Case, DC
- Title
- Authorized Official
- Phone
- (912) 576-1234
Practitioners 1
-
Marc Charles Case, DC, DACNB
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230124003160 | GA | Part B Supplier - Clinic/Group Practice | 8820469117 |
Receives reassigned benefits from 1 practitioner Practice locations: Saint Marys, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
775 Kingsbay Rd Ste a
Saint Marys, GA 31558-3886
Mailing address
775 Kingsbay Rd Ste a
Saint Marys, GA 31558-3886
Phone (912) 576-1234
Other providers in Saint Marys, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 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.