Active NPI
Elise Faust, D.C.
- Chiropractor
- Madison, GA
National Provider Identifier
1710066535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5679
- Practice address
- 1163 Eatonton Rd
Madison, GA 30650-2026 - Phone
- (706) 342-7115
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5679 | GA | Primary |
Addresses
Primary practice location
1163 Eatonton Rd
Madison, GA 30650-2026
Mailing address
1163 Eatonton Rd
Madison, GA 30650-2026
Phone (706) 342-7115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110421000007 | GA | Practitioner - Chiropractic | 2365627189 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5679 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Chiropractors, PC | Chiropractor | Current | Accepting new patients |
| True Align Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
1163 Eatonton Rd
Madison, GA 30650
Phone (601) 443-8161
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Madison, GA
- NPI 1821277096
-
- Chiropractor
- Madison, GA
- NPI 1710842695
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1995
- Medicare assignment
- May accept Medicare assignment
- Group practices
- True Align Chiropractic LLC
Practice addresses (Care Compare)
1163 Eatonton Rd
Madison, GA 30650-2026
Phone (601) 443-8161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710066535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1163 EATONTON RD",
"city": "MADISON",
"state": "GA",
"postal_code": "306502026",
"telephone_number": "706-342-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1163 EATONTON RD",
"city": "MADISON",
"state": "GA",
"postal_code": "306502026",
"telephone_number": "706-342-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUST",
"first_name": "ELISE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "5679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.