Active NPI
Larger Than Life Chiropractic
- Chiropractor
- Macon, GA
National Provider Identifier
1710343447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008931
- Legal business name
- LARGER THAN LIFE CHIROPRACTIC
- Practice address
- 4931 Riverside Dr Ste 300a
Macon, GA 31210-1168 - Phone
- (478) 257-6114
- Fax
- (478) 238-5415
- NPI assigned
- Jan 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dusty Large, D.C.
- Title
- Owner
- Phone
- (478) 257-6114
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008931 | GA | Primary |
Addresses
Primary practice location
4931 Riverside Dr Ste 300a
Macon, GA 31210-1168
Mailing address
4931 Riverside Dr Ste 300a
Macon, GA 31210-1168
Phone (478) 257-6114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4931 Riverside Dr
Ste 300A
Macon, GA 31210
Phone (478) 257-6114
3040 Riverside Dr
Ste B3
Macon, GA 31210
Phone (478) 257-6114
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Macon, GA
- NPI 1396016648
-
- Chiropractor
- Macon, GA
- NPI 1447964143
-
- Chiropractor
- Macon, GA
- NPI 1477432920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701648000000",
"number": "1710343447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4931 RIVERSIDE DR STE 300A",
"city": "MACON",
"state": "GA",
"postal_code": "312101168",
"telephone_number": "478-257-6114",
"fax_number": "478-238-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4931 RIVERSIDE DR STE 300A",
"city": "MACON",
"state": "GA",
"postal_code": "312101168",
"telephone_number": "478-257-6114",
"fax_number": "478-238-5415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARGER THAN LIFE CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-11",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A",
"authorized_official_last_name": "LARGE",
"authorized_official_first_name": "DUSTY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-257-6114",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.