Jeneen Ridgeway, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008061 Issued in GA

Practice address

510 Swanson Rd
Tyrone, GA 30290-6900

Phone

(770) 964-5230

Fax

(770) 964-5230

NPI assigned

Dec 5, 2007

Last updated

Jan 29, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Concepts

  • Chiropractor
  • Fayetteville, GA
  • NPI 1801099726
  NPD (past)
• Health Concepts I

  • Chiropractor
  • Fayetteville, GA
  • NPI 1487984191
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1730361353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SWANSON RD",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302906900",
            "telephone_number": "770-964-5230",
            "fax_number": "770-964-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SWANSON RD",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302906900",
            "telephone_number": "770-964-5230",
            "fax_number": "770-964-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGEWAY",
        "first_name": "JENEEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idesta Ralph
• Scott Rappe, D.O.
• Elizabeth Ream, MA, LPC
• Juliane Simone Reynolds, D.D.S.
• Roseann Rhoda, RPH
• Tia Rivers
• Elizabeth S. Roberts, LPC
• Vivian Robinson-Womack, NP-C
• Jalonda Robinson, RBT
• Shawnee Romano

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.