Michael Thomas Hartpence, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2205 Issued in GA

Practice address

696 Mount Zion Rd
Suite C-4
Jonesboro, GA 30236-1597

Phone

(770) 968-1746

Fax

(770) 968-0727

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Crescent Medical Clinic IncGroup PAC ID 7214824655, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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.

• Southern Crescent Medical Clinic, Inc.

  • Internal Medicine Physician
  • Jonesboro, GA
  • NPI 1972650661

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official
• Family and Physical Medicine of South Atlanta

  • Adult Medicine Physician
  • Newnan, GA
  • NPI 1326935198
  NPD

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1760539613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 MOUNT ZION RD",
            "address_2": "STE C4",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361583",
            "telephone_number": "770-460-7613",
            "fax_number": "770-968-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 MOUNT ZION RD",
            "address_2": "SUITE C-4",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361597",
            "telephone_number": "770-968-1746",
            "fax_number": "770-968-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTPENCE",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moesha Harris
• Pamelyn Evette Harris, LAPC
• Rodney Leon Harris, MD
• Carmen Virginia Harrison, WNHP-BC
• Leah Faith Hartpence, APRN
• Alliyah Harvey
• Maryum Hasan, CCAADC
• Ekwua Hayford-Williams
• Elizabeth Ann Hayford, LCSW
• Bruce Brown Hays, DMD

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

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