Audrey Maaike Vanpelt, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO10635 Issued in GA

Practice address

740 Prince Ave Ste 8a
Athens, GA 30606-5903

Phone

(706) 739-5552

NPI assigned

Oct 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, IL2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Life Chiropractic College, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Tri State Precision Clinic of Chiropractic IncGroup PAC ID 7618217969, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Legacy Chiropractic Center, LLC

  • Chiropractor
  • Athens, GA
  • NPI 1528712882
  Medicare reassignment NPD Authorized official
• Tri State Precision Clinic of Chiropractic Inc

  • Chiropractor
  • Mount Carmel, IL
  • NPI 1154886307
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1740822444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 PRINCE AVE STE 8A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065903",
            "telephone_number": "706-739-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PRINCE AVE STE 8A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065903",
            "telephone_number": "706-739-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANPELT",
        "first_name": "AUDREY",
        "middle_name": "MAAIKE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010884",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO10635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ChiroHD",
            "affiliation": "N",
            "address_1": "740 Prince Ave Ste 8A",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306065903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Elaine Vandeusen
• Marla Thurman Vandyck, PT
• Peter Frandsen Vandyck, MD
• Radha S Vanmali, PHARM D
• Dawn Vanover, NP
• Samuel Robert Varnadoe, COTA
• Trisha Varnell, LMSW
• Nels Arvid Vasenden, DPM
• Viren S Vasudeva, MD
• Ciara Jade Vaughn, CSFA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.