NPIMap

Organization Active NPI

Life of Georgia Chiropractic Clinic

Doing business as Life of Georgia Chiropractic Clinic, PC

  • Rehabilitation Clinic/Center
  • Augusta, GA
National Provider Identifier
1629221213
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
1346 Issued in GA
Legal business name
LIFE OF GEORGIA CHIROPRACTIC CLINIC
Doing business as
Life of Georgia Chiropractic Clinic, PC
Practice address
1914 Central Ave
Suite a
Augusta, GA 30904-4126
Phone
(706) 733-2211
Fax
(706) 733-2271
NPI assigned
Oct 28, 2008
Last updated
Sep 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Dr. William O. Walker, D.C.NPI 1790807915
Title
Chiropractor
Phone
(706) 733-2211

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 1346 GA Primary
Chiropractor 111N00000X

Addresses

Primary practice location

1914 Central Ave
Suite a
Augusta, GA 30904-4126

Mailing address

1914 Central Ave
Suite a
Augusta, GA 30904-4126
Phone (706) 733-2211

Other identifiers 1

IdentifierTypeStateIssuer
1376788406OtherGATHIRD PARTY

Other names 1

  • Life of Georgia Chiropractic Clinic, PC Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Augusta Health Information Exchange (HIE)
CONNECT URL Augusta Health Information Exchange (HIE)
CONNECT URL Augusta Health Information Exchange (HIE)

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": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1629221213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044126",
            "telephone_number": "706-733-2211",
            "fax_number": "706-733-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044126",
            "telephone_number": "706-733-2211",
            "fax_number": "706-733-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE OF GEORGIA CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "706-733-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "GA",
            "license": "1346",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THIRD PARTY",
            "identifier": "1376788406",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Augusta",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Augusta",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Augusta",
            "address_1": "1914 Central Ave",
            "address_2": "Suite A",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309044126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Augusta",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Augusta",
            "address_1": "1914 Central Ave",
            "address_2": "Suite A",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309044126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Augusta",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Augusta",
            "address_1": "1914 Central Ave",
            "address_2": "Suite A",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309044126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life of Georgia Chiropractic Clinic, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life of Georgia Chiropractic Clinic, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.