Fusion Back and Body Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR006616 Issued in GA

Legal business name

FUSION BACK AND BODY CENTER, LLC

Practice address

2605 Cherokee Ave
Macon, GA 31204-3923

Phone

(478) 741-9850

Fax

(478) 741-9852

NPI assigned

Dec 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Anissa Monique Jones, D.C.

Title

Owner/Operator

Phone

(478) 741-9850

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1700021698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 CHEROKEE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043923",
            "telephone_number": "478-741-9850",
            "fax_number": "478-741-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 CHEROKEE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043923",
            "telephone_number": "478-741-9850",
            "fax_number": "478-741-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION BACK AND BODY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "478-741-9850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.