Individual provider Active NPI

Valerie Joy Bohland, D.C.

  • Independent Medical Examiner Chiropractor
  • McDonough, GA
National Provider Identifier
1740368182
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
CHIR005293 Issued in GA
Practice address
3939 Jodeco Rd
McDonough, GA 30253-5477
Phone
(770) 898-9888
Fax
(770) 898-5758
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X 3740-012 WI
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X CHIR005293 GA Primary

Addresses

Primary practice location

3939 Jodeco Rd
McDonough, GA 30253-5477

Mailing address

3939 Jodeco Rd
McDonough, GA 30253-5477
Phone (770) 898-9888

Other names 1

  • Dr. Valerie Joy Bohland-Reis Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080417000679 GA Practitioner - Chiropractic 7416035365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3939 Jodeco Rd
McDonough, GA 30253-5477
Phone (770) 898-9888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR005293GAMDIndependent Medical Examiner Chiropractor
3740-012WIMDIndependent Medical Examiner Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bohland Family Chiropractic Clinic Inc. Chiropractor CurrentSince Jun 1, 2007 Accepting new patients
Beyond Your Ordinary, Inc. Single Specialty PastSince Mar 1, 2020 Accepting new patients

Locations

97 Atlanta St
Ste 100
McDonough, GA 30253
Phone (336) 268-6469

3939 Jodeco Rd
McDonough, GA 30253
Phone (770) 898-9888

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1740368182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 JODECO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535477",
            "telephone_number": "770-898-9888",
            "fax_number": "770-898-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 JODECO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535477",
            "telephone_number": "770-898-9888",
            "fax_number": "770-898-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLAND",
        "first_name": "VALERIE",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "WI",
            "license": "3740-012",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "GA",
            "license": "CHIR005293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "BOHLAND-REIS",
            "middle_name": "JOY",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.