Organization Active NPI

Telfair Family Chiropractic Center

Doing business as Family Chiropractic Center

  • Chiropractor
  • McRae, GA
National Provider Identifier
1649453986
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006990 Issued in GA
Legal business name
TELFAIR FAMILY CHIROPRACTIC CENTER
Doing business as
Family Chiropractic Center
Practice address
507 E Oak St
MC Rae, GA 31055-1637
Phone
(229) 868-9899
Fax
(229) 868-2890
NPI assigned
Dec 10, 2007
Last updated
Dec 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Dr. Richard E. Bass, D.C.NPI 1801936869
Title
President
Phone
(229) 868-9899

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006990 GA Primary

Addresses

Primary practice location

507 E Oak St
MC Rae, GA 31055-1637

Mailing address

507 E Oak St
MC Rae, GA 31055-1637
Phone (229) 868-9899

Other identifiers 1

IdentifierTypeStateIssuer
GRP7218OtherGAMEDICARE GROUP

Other names 1

  • Family Chiropractic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050721000876 GA Part B Supplier - Clinic/Group Practice 7214964170 Receives reassigned benefits from 1 practitioner
Practice locations: McRae-Helena, GA

National Provider Directory

National Provider Directory

Locations

80 E Oak St
Mc Rae Helena, GA 31055
Phone (229) 868-9899

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": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1649453986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E OAK ST",
            "city": "MC RAE",
            "state": "GA",
            "postal_code": "310551637",
            "telephone_number": "229-868-9899",
            "fax_number": "229-868-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E OAK ST",
            "city": "MC RAE",
            "state": "GA",
            "postal_code": "310551637",
            "telephone_number": "229-868-9899",
            "fax_number": "229-868-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELFAIR FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-868-9899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP7218",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McRae, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.