Organization Active NPI

Town and Country Chiropractic

  • Chiropractor
  • Madison, GA
National Provider Identifier
1770974602
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009323 Issued in GA
Legal business name
TOWN AND COUNTRY CHIROPRACTIC
Practice address
255 N Main St Ste C
Madison, GA 30650-1390
Phone
(706) 438-1314
Fax
(706) 438-1315
NPI assigned
Feb 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Vanessa N Pizza, D.C.NPI 1568873073
Title
Owner/Doctor
Phone
(706) 438-1314

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR009323 GA Primary

Addresses

Primary practice location

255 N Main St Ste C
Madison, GA 30650-1390

Mailing address

255 N Main St
Madison, GA 30650-1390
Phone (706) 438-1314

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150714000258 GA Part B Supplier - Clinic/Group Practice 8628381183 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, GA

National Provider Directory

National Provider Directory

Locations

255 N Main St
Madison, GA 30650
Phone (706) 438-1314

255 N Main St
Ste C
Madison, GA 30650
Phone (706) 343-1876

Practitioners & affiliated clinicians

Practitioners 1

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": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1770974602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N MAIN ST",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306501390",
            "telephone_number": "706-438-1314",
            "fax_number": "706-438-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N MAIN ST STE C",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306501390",
            "telephone_number": "706-438-1314",
            "fax_number": "706-438-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN AND COUNTRY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "PIZZA",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "706-438-1314",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.