Organization Active NPI

Premier Practice Development Inc Health Source of Savannah

  • Chiropractor
  • Terre Haute, IN
National Provider Identifier
1750641130
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008888 Issued in GA
Legal business name
PREMIER PRACTICE DEVELOPMENT INC HEALTH SOURCE OF SAVANNAH
Practice address
4282 Cart Path
Terre Haute, IN 47802-8161
Phone
(812) 239-8223
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Bart A Anderson, DC
Title
Co-Owner/President
Phone
(812) 239-8223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR008888 GA Primary

Addresses

Primary practice location

4282 Cart Path
Terre Haute, IN 47802-8161

Mailing address

4282 Cart Path
Terre Haute, IN 47802-8161
Phone (812) 239-8223

National Provider Directory

National Provider Directory

Locations

6605 Abercorn St
Ste 100
Savannah, GA 31405
Phone (912) 358-0200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1750641130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4282 CART PATH",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478028161",
            "telephone_number": "812-239-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4282 CART PATH",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478028161",
            "telephone_number": "812-239-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PRACTICE DEVELOPMENT INC HEALTH SOURCE OF SAVANNAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-OWNER/PRESIDENT",
        "authorized_official_telephone_number": "812-239-8223",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.