Organization Active NPI

The Chiropractic Palms PC

  • Chiropractor
  • St Simons Island, GA
National Provider Identifier
1699035964
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08780 Issued in GA
Legal business name
THE CHIROPRACTIC PALMS PC
Practice address
302 Redfern VLG
St Simons Island, GA 31522-2537
Phone
(912) 268-4277
Fax
(912) 268-4289
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Dr. Monica Lauren Sanders, DCNPI 1982902698
Title
Owner/Chiropractic
Phone
(912) 268-4277

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 08780 GA Primary

Addresses

Primary practice location

302 Redfern VLG
St Simons Island, GA 31522-2537

Mailing address

302 Redfern VLG
St Simons Island, GA 31522-2537
Phone (912) 268-4277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120523000617 GA Part B Supplier - Clinic/Group Practice 2668635913 Receives reassigned benefits from 1 practitioner
Practice locations: St Simons Island, GA

National Provider Directory

National Provider Directory

Locations

302 Redfern Vlg
St Simons Island, GA 31522
Phone (912) 268-4277

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": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1699035964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 REDFERN VLG",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222537",
            "telephone_number": "912-268-4277",
            "fax_number": "912-268-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 REDFERN VLG",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222537",
            "telephone_number": "912-268-4277",
            "fax_number": "912-268-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHIROPRACTIC PALMS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC",
        "authorized_official_telephone_number": "912-268-4277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "08780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Simons Island, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.