Warren Marshall Ward, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR003139 Issued in GA

Practice address

104 Northside Dr W
Statesboro, GA 30458-5301

Phone

(912) 764-6100

Fax

(912) 489-2961

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629141791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304590541",
            "telephone_number": "912-764-6100",
            "fax_number": "912-489-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NORTHSIDE DR W",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585301",
            "telephone_number": "912-764-6100",
            "fax_number": "912-489-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "WARREN",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR003139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00488452A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Shane Wall, D.M.D.
• Alison Quinn Wallace, LPC
• Kenneth Brian Walton, MD
• Cody Robert Ward, PA
• Rebecca Hobbs Ward, R.N.
• Shakayla Ware, LPC
• Marsha Foster Warren, LPC
• Katie Warrington
• John Lyndon Wasdin, D.M.D.
• Sidney R Washington III, MD

• Chiropractor in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Chiropractor in Georgia

• 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.
• 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.