South Georgia Clinic of Chiropractic Medicine

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005944 Issued in GA

Legal business name

SOUTH GEORGIA CLINIC OF CHIROPRACTIC MEDICINE

Doing business as

Sircy Chiropractic Clinic

Practice address

720 S Main St
Moultrie, GA 31768-5450

Phone

(229) 985-1370

NPI assigned

Nov 16, 2006

Last updated

Feb 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carl Franklin Sircy III, D.C.NPI 1578751665

Title

President

Phone

(229) 985-1370

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sircy Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Carl Franklin Sircy, D.C.

  • Chiropractor
  • Moultrie, GA
  • NPI 1578751665
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1659444545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317685450",
            "telephone_number": "229-985-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317685450",
            "telephone_number": "229-985-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA CLINIC OF CHIROPRACTIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "SIRCY",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-985-1370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "005944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52671605",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55003710A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sircy Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney E. Smith, CCC-SLP
• Dresden Melton Soderstrom, MD
• Rumonda Marketta Solomon
• South Ga Gastroenterology & Nutrition Support, Inc.
• South Ga Spine Care Institute
• South Georgia Pharmacy Services Inc (Convenient RX LTC #2)
• Southeastern Urogynecology & Pelvic Surgery LLC (Sterling Group Urogynecology & Pelvic Surgery)
• Southern Orthodontics
• Southern Pelvic Therapy LLC
• Southwestern State Hospital (Assertive Community Treatment Program)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.