Middle Georgia Total Health Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MIDDLE GEORGIA TOTAL HEALTH CENTER, LLC

Practice address

285 Plaza Ave
Eastman, GA 31023-6859

Phone

(478) 374-6011

Fax

(478) 374-7702

NPI assigned

Jun 15, 2022

Last updated

Jun 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dustin Phillip Smith, DCNPI 1467774380

Title

Doctor/Owner

Phone

(478) 374-6011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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.

• Dustin Phillip Smith, D.C.

  • Chiropractor
  • Eastman, GA
  • NPI 1467774380
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1700516366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236859",
            "telephone_number": "478-374-6011",
            "fax_number": "478-374-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236859",
            "telephone_number": "478-374-6011",
            "fax_number": "478-374-7702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Cochran",
            "state": "GA",
            "postal_code": "310146330",
            "country_code": "US",
            "telephone_number": "478-374-6011",
            "fax_number": "478-374-7702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDDLE GEORGIA TOTAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "478-374-6011",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Middle Ga Family Practice LLC
• Middle Georgia Family Medicine,LLC
• Middle Georgia Nursing Home, Inc
• Middle Georgia Nursing Home, Inc. (Middle Georgia Nursing Home)
• Middle Georgia Sleep & Wellness Center, LLC
• Bart Steele Milner, P.A.
• Blake E Milner, M.D.
• Olubansile A Mimiko, M.D.
• Demetria Aries Mitchell
• Dana W Mullis, DMD

• Chiropractor in Eastman, GA
• Providers in Eastman, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.