Individual provider Active NPI

John Lefand Jr., D.C.

  • Chiropractor
  • Waycross, GA
National Provider Identifier
1659480598
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007081 Issued in GA
Practice address
228 Riverside Dr
Waycross, GA 31501-3541
Phone
(912) 287-1414
Fax
(912) 287-1884
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007081 GA Primary

Addresses

Primary practice location

228 Riverside Dr
Waycross, GA 31501-3541

Mailing address

228 Riverside Drive
Waycross, GA 31501-3541
Phone (912) 287-1414

Other identifiers 1

IdentifierTypeStateIssuer
821999OtherGABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427001395 GA Practitioner - Chiropractic 9133116643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Care Medical Center LLCGroup PAC ID 6406807015, 28 clinicians

Practice addresses (Care Compare)

2804 N Oak St
Suite C
Valdosta, GA 31602-5913
Phone (229) 241-8925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Care Medical Center LLC CurrentSince Sep 1, 2023 Accepting new patients
Care Medical Center LLC Chiropractor CurrentSince Sep 1, 2023 Accepting new patients
Satilla Spine Center Chiropractor CurrentSince Nov 14, 2001 Accepting new patients

Locations

2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925

1415 Alice St
Waycross, GA 31501
Phone (912) 282-2989

228 Riverside Dr
Waycross, GA 31501
Phone (912) 287-1411

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659480598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 RIVERSIDE DRIVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013541",
            "telephone_number": "912-287-1414",
            "fax_number": "912-287-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 RIVERSIDE DR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013541",
            "telephone_number": "912-287-1414",
            "fax_number": "912-287-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFAND",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "821999",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.