Individual provider Active NPI

James F Lindell, D.C.

  • Chiropractor
  • Conyers, GA
National Provider Identifier
1679667018
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008287 Issued in GA
Practice address
889 Commerce Dr SW Ste a
Conyers, GA 30094-6624
Phone
(770) 648-6181
Fax
(770) 648-6759
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008287 GA Primary
Chiropractor 111N00000X 01-04972 KS

Addresses

Primary practice location

889 Commerce Dr SW Ste a
Conyers, GA 30094-6624

Mailing address

889 Commerce Dr SW Ste a
Conyers, GA 30094-6624
Phone (770) 648-6181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000186 GA Practitioner - Chiropractic 2567487713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

889 Commerce Dr SW
Suite a
Conyers, GA 30094-6624
Phone (770) 648-6181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-04972KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Chiropractic of Georgia Chiropractor CurrentSince Oct 12, 2014 Accepting new patients
The Wellness Sanctuary International Corp Chiropractor PastSince Jan 12, 2020 Accepting new patients
Hendrickson Chiropractic & Health Center P a Chiropractor PastSince Jun 1, 2003 Accepting new patients

Locations

889 Commerce Dr SW
Ste A
Conyers, GA 30094
Phone (770) 648-6181

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1679667018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 COMMERCE DR SW STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946624",
            "telephone_number": "770-648-6181",
            "fax_number": "770-648-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 COMMERCE DR SW STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946624",
            "telephone_number": "770-648-6181",
            "fax_number": "770-648-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDELL",
        "first_name": "JAMES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008287",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.