Active NPI
Sagl
Doing business as Care 360 Medical
- Chiropractor
- Cairo, GA
National Provider Identifier
1629609193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryNPI 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
- Dana B. Rhodes, PHARM.D.
- Glenn Kelly Robinson, D.C.
- Stina Jennifer Ruddell, P.A.
- Rural Urgent Care LLC (MainStreet Family Care)
- Sacred Living Behavioral Health and Wellness, LLC
- Sagl Medical Services (Cairo 360 Medical)
- Ann Scott, RRT, RCP
- Juan S Serna-Gonzalez, DO
- Jana Louise Smith
- Julene Dorothy Smith, PMHNP-BC
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.