Organization Active NPI

Avard Family Chiropractic

  • Chiropractor
  • Rincon, GA
National Provider Identifier
1730652983
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AVARD FAMILY CHIROPRACTIC
Practice address
185 Commercial Dr
Rincon, GA 31326-5469
Phone
(912) 826-5230
Fax
(912) 826-5230
NPI assigned
Jan 9, 2019
Last updated
Jan 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Dr. David Lawrence Avard, D.C.NPI 1043359151
Title
Owner
Phone
(912) 826-5230

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)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

185 Commercial Dr
Rincon, GA 31326-5469

Mailing address

185 Commercial Dr
Rincon, GA 31326-5469
Phone (912) 826-5230

Other identifiers 2

IdentifierTypeStateIssuer
3504OtherSCCHIROPRACTOR LICENCE NUMBER
CHIRO009195OtherGACHIROPRACTOR LICENCE NUMBER

Other names 1

  • Legal Business name Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190408002376 GA Part B Supplier - Clinic/Group Practice 7416298070 Receives reassigned benefits from 1 practitioner
Practice locations: Rincon, GA

National Provider Directory

National Provider Directory

Locations

185 Commercial Dr
Rincon, GA 31326
Phone (912) 826-5230

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1730652983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 COMMERCIAL DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265469",
            "telephone_number": "912-826-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 COMMERCIAL DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265469",
            "telephone_number": "912-826-5230",
            "fax_number": "912-826-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVARD FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "AVARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-826-5230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR LICENCE NUMBER",
            "identifier": "3504",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR LICENCE NUMBER",
            "identifier": "CHIRO009195",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legal Business name",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.