Individual provider Active NPI

Landin John Marzolf, D.C.

  • Chiropractor
  • Bainbridge, GA
National Provider Identifier
1730370446
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008218 Issued in GA
Practice address
305 S West St
Bainbridge, GA 39819-3911
Phone
(229) 248-8499
NPI assigned
Aug 7, 2007
Last updated
Aug 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008218 GA Primary

Addresses

Primary practice location

305 S West St
Bainbridge, GA 39819-3911

Mailing address

305 S West St
Bainbridge, GA 39819-3911
Phone (229) 248-8499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071217000472 GA Practitioner - Chiropractic 6507956372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Landk Chiropractic Services LLCGroup PAC ID 5193902518, 3 clinicians

Practice addresses (Care Compare)

922 S W St
Bainbridge, GA 39819-4581
Phone (229) 248-8499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
L&K Chiropractic Services LLC CurrentSince Aug 2, 2007 Accepting new patients
L&K Chiropractic Services Chiropractor Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Nova Chiropractic Services Chiropractor Past Accepting new patients

Locations

305 S West St
Bainbridge, GA 39819
Phone (229) 248-8499

922 S West St
Bainbridge, GA 39819
Phone (229) 248-8499

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1730370446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S WEST ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398193911",
            "telephone_number": "229-248-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S WEST ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398193911",
            "telephone_number": "229-248-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZOLF",
        "first_name": "LANDIN",
        "middle_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.