Organization Active NPI

Hailey Chiropractic P.C.

  • Chiropractor
  • Waynesboro, VA
National Provider Identifier
1770822272
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556252 Issued in VA
Legal business name
HAILEY CHIROPRACTIC P.C.
Practice address
436 S. Linden Ave
Waynesboro, VA 22980
Phone
(540) 248-3210
Fax
(540) 416-0243
NPI assigned
Feb 5, 2013
Last updated
Feb 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Andrea Lynn Hailey, D.C.NPI 1356440945
Title
President
Phone
(540) 248-3210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556252 VA Primary

Addresses

Primary practice location

436 S. Linden Ave
Waynesboro, VA 22980

Mailing address

436 S. Linden Ave
Waynesboro, VA 22980
Phone (540) 248-3210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130409000002 VA Part B Supplier - Clinic/Group Practice 4082850474 Receives reassigned benefits from 1 practitioner
Practice locations: Waynesboro, VA

National Provider Directory

National Provider Directory

Locations

82 Wilson Ave
Monterey, VA 24465
Phone (540) 248-3210

436 S Linden Ave
Waynesboro, VA 22980
Phone (540) 248-3210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1770822272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 S. LINDEN AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "22980",
            "telephone_number": "540-248-3210",
            "fax_number": "540-416-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 S. LINDEN AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "22980",
            "telephone_number": "540-248-3210",
            "fax_number": "540-416-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAILEY CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "HAILEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-248-3210",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.