Organization Active NPI

Wetherington Chiropractic Clinic

  • Chiropractor
  • Savannah, GA
National Provider Identifier
1699195156
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007039 Issued in GA
Legal business name
WETHERINGTON CHIROPRACTIC CLINIC
Practice address
329 Eisenhower Dr Ste D
Savannah, GA 31406-2695
Phone
(912) 351-0005
Fax
(912) 351-0007
NPI assigned
Apr 23, 2014
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Gregory Bart Wetherington, D.C.NPI 1083782049
Title
Owner
Phone
(912) 351-0005

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
Chiropractor 111N00000X CHIR007039 GA Primary

Addresses

Primary practice location

329 Eisenhower Dr Ste D
Savannah, GA 31406-2695

Mailing address

5602 Waters Ave
Savannah, GA 31404-6296
Phone (912) 351-0005

Other identifiers 1

IdentifierTypeStateIssuer
35ZCGPDOtherGAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140606001230 GA Part B Supplier - Clinic/Group Practice 5890919120 Receives reassigned benefits from 1 practitioner
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory

Locations

5602 Waters Ave
Savannah, GA 31404
Phone (912) 351-0005

Interoperability endpoints

  • Direct secure messaging: sfields@wcc0009.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 7

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": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1699195156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046296",
            "telephone_number": "912-351-0005",
            "fax_number": "912-351-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 EISENHOWER DR STE D",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062695",
            "telephone_number": "912-351-0005",
            "fax_number": "912-351-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WETHERINGTON CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "WETHERINGTON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "BART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-351-0005",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "35ZCGPD",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.