Organization Active NPI

100 Chiro Nutty Hines, PC

  • Chiropractor
  • Gainesville, GA
National Provider Identifier
1679220222
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
100 CHIRO NUTTY HINES, PC
Practice address
858 Dawsonville Hwy Ste 890-C
Gainesville, GA 30501-2617
Phone
(719) 217-0895
NPI assigned
Mar 3, 2022
Last updated
Mar 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Dr. Steve Nutty
Title
Owner
Phone
(719) 217-0895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

858 Dawsonville Hwy Ste 890-C
Gainesville, GA 30501-2617

Mailing address

858 Dawsonville Hwy Ste 890-C
Gainesville, GA 30501-2617

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231102002142 GA Part B Supplier - Clinic/Group Practice 1254787823 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, GA

National Provider Directory

National Provider Directory

Locations

858 Dawsonville Hwy
Ste 890C
Gainesville, GA 30501

890 Dawsonville Hwy
Ste C
Gainesville, GA 30501
Phone (470) 646-3322

Practitioners & affiliated clinicians

Practitioners 3

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": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1679220222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 DAWSONVILLE HWY STE 890-C",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 DAWSONVILLE HWY STE 890-C",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012617",
            "telephone_number": "719-217-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO NUTTY HINES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "NUTTY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-217-0895",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.