Kirstyn Mahalia James, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010883 Issued in GA

Practice address

306 Shirley Ave
Douglas, GA 31533-2332

Phone

(912) 393-3955

NPI assigned

Oct 17, 2022

Last updated

Jun 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Care Medical Center LLC

  • Exclusive Provider Organization
  • Valdosta, GA
  • NPI 1063521250
  Medicare reassignment NPD
• Care Medical Center LLC

  • Chiropractor
  • Waycross, GA
  • NPI 1376236232
  NPD

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1669198032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 SUNNYSIDE CHURCH RD",
            "city": "PEARSON",
            "state": "GA",
            "postal_code": "316424550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332332",
            "telephone_number": "912-393-3955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2379 Sunnyside Church Rd",
            "address_purpose": "LOCATION",
            "city": "Pearson",
            "state": "GA",
            "postal_code": "316424550",
            "country_code": "US",
            "telephone_number": "912-309-2368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KIRSTYN",
        "middle_name": "MAHALIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirandr Inthachak, M.D.
• J H Harvey Co LLC (Harveys Supermarket Pharmacy #2373)
• J H Harvey Co LLC (Harveys Supermarket Pharmacy #2306)
• J M Bailey Pharmacy Inc (Fulco Discount Drugs)
• Patricia Arasely Jaimes
• Deidree Nichole Jenkins, FNP
• JLD Speech Therapy, LLC
• JM Bailey Pharm (Fulco Discount Drug)
• John B Moffet DC PC
• Lajuanna Johnson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.