Organization Active NPI

Sagl

Doing business as Care 360 Medical

  • Chiropractor
  • Cairo, GA
National Provider Identifier
1629609193
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SAGL
Doing business as
Care 360 Medical
Practice address
2807 US Highway 84 E
Cairo, GA 39828-1371
Phone
(229) 377-9064
Fax
(229) 377-3926
NPI assigned
Feb 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Jennifer L Moore
Title
Office Manager
Phone
(229) 400-0498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2807 US Highway 84 E
Cairo, GA 39828-1371

Mailing address

2807 US Highway 84 E
Cairo, GA 39828-1371
Phone (229) 377-9064

Other names 1

  • CARE 360 MEDICAL Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1629609193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 US HIGHWAY 84 E",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398281371",
            "telephone_number": "229-377-9064",
            "fax_number": "229-377-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 US HIGHWAY 84 E",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398281371",
            "telephone_number": "229-377-9064",
            "fax_number": "229-377-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-400-0498"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARE 360 MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cairo, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.