Phillips Chiropractic, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

006566 Issued in GA

Legal business name

PHILLIPS CHIROPRACTIC, PC

Practice address

4045 Vineville Ave
Macon, GA 31210-5039

Phone

(478) 475-4131

Fax

(475) 475-4128

NPI assigned

May 7, 2013

Organization subpart

No

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

Authorized official

Name

Charles Bailey Phillips Jr., D.C.NPI 1023017548

Title

President

Phone

(478) 475-4131

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Charles Bailey Phillips Jr., D.C.

  • Chiropractor
  • Macon, GA
  • NPI 1023017548
  Medicare reassignment NPD Authorized official
• James D Waddell, D.C.

  • Chiropractor
  • Bonaire, GA
  • NPI 1255480547
  NPD (past)

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1699110437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105039",
            "telephone_number": "478-475-4131",
            "fax_number": "475-475-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105039",
            "telephone_number": "478-475-4131",
            "fax_number": "475-475-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-475-4131",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "006566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1023017548",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather E Phelan, CRNA
• Kwanjula A Phelps
• Lazonya Phelps
• Paul Raymond Phelps Sr., M.D.
• Keith N Phillippi, MD
• Alyssa Phillips
• Amanda Phillips, NP
• Celecia Phillips, MOTR/L, COMS, CVRT
• Charleitte Phillips, FNP-BC
• Charles Bailey Phillips Jr., D.C.

• Medical Specialty Clinic/Center in Macon, GA
• Providers in Macon, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.