Jacob Funk, D.C.
Individual provider Active NPI Chiropractor · Colorado Springs, CO
NPI 1740069665 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1740069665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHR.0008736 (CO)
- Practice address
- 3425 Austin Bluffs Pkwy Ste 101
Colorado Springs, CO 80918-5723 - Phone
- (719) 533-1000
- NPI assigned
- Sep 28, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Georgia Healthcare Center, Inc.
Practice addresses (Care Compare)
215 N Coleman St
Swainsboro, GA 30401-3530
Phone (478) 237-2638
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240410002575 | CO | Practitioner - Chiropractic | 8729426648 | |
| I20240624004906 | GA | Practitioner - Chiropractic | 8729426648 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Georgia Healthcare Center, Inc. | Current |
Accepting new patients | |
| East Georgia Healthcare Center, Inc. | Current |
Accepting new patients | |
| East Georgia Healthcare Center, Inc. | Current | Accepting new patients |
Locations
1570 Brampton Ave
Statesboro, GA 30458
Phone (912) 764-9196
215 N Coleman St
Swainsboro, GA 30401
Phone (478) 237-2638
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR.0008736 | CO | Yes |
Addresses
Primary practice location
3425 Austin Bluffs Pkwy Ste 101
Colorado Springs, CO 80918-5723
Mailing address
6431 Honey GRV Apt 104
Colorado Springs, CO 80923-9518
Other providers in Colorado Springs, CO
- Emily C Fulton
- Grace Caroline Fulton
- Jenna Fulton
- Tammy Michelle Fulton
- Elizabeth R Funk
- Ayron Funny
- Marina Funtik
- Brooke Fuqua
- Fuse Physiotherapy LLC
- Future Innovative Treatments, LLC
All providers in Colorado Springs, CO · Chiropractor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.