Organization Active NPI

Sheffield Clinics, LLC

  • Chiropractor
  • Douglas, GA
National Provider Identifier
1659610442
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008686 Issued in GA
Legal business name
SHEFFIELD CLINICS, LLC
Practice address
410 Ward St E
Douglas, GA 31533-0001
Phone
(912) 384-2608
Fax
(912) 383-8018
NPI assigned
Feb 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Dr. Henry Randall Sheffield, D.C.NPI 1730485509
Title
Owner
Phone
(912) 384-2608

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR008686 GA Primary

Addresses

Primary practice location

410 Ward St E
Douglas, GA 31533-0001

Mailing address

410 Ward St E
Douglas, GA 31533-0001
Phone (912) 384-2608

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130603000576 GA Part B Supplier - Clinic/Group Practice 2860630837 Receives reassigned benefits from 1 practitioner
Practice locations: Douglas, GA

National Provider Directory

National Provider Directory

Locations

410 Ward St E
Douglas, GA 31533
Phone (912) 384-2608

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1659610442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 WARD ST E",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315330001",
            "telephone_number": "912-384-2608",
            "fax_number": "912-383-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 WARD ST E",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315330001",
            "telephone_number": "912-384-2608",
            "fax_number": "912-383-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEFFIELD CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "SHEFFIELD",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-384-2608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.