Organization Active NPI

Brown Chiropractic Wellness Center WR PC

  • Chiropractor
  • Warner Robins, GA
National Provider Identifier
1801151386
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5506 Issued in GA
Legal business name
BROWN CHIROPRACTIC WELLNESS CENTER WR PC
Practice address
259 Carl Vinson Pkwy Ste 200
Warner Robins, GA 31088-5991
Phone
(478) 922-7272
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Dr. Gregory S Brown, DCNPI 1740483536
Title
Chiropractor
Phone
(478) 971-4274

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 5506 GA Primary

Addresses

Primary practice location

259 Carl Vinson Pkwy Ste 200
Warner Robins, GA 31088-5991

Mailing address

259 Carl Vinson Pkwy Ste 200
Warner Robins, GA 31088-5991
Phone (478) 922-7272

Other identifiers 2

IdentifierTypeStateIssuer
35ZCDQVOtherGAMEDICARE ID/ PTAN #:
1740483536OtherGANPI #...INDIVIDUAL/TYPE 1:

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120719000165 GA Part B Supplier - Clinic/Group Practice 3779749783 Receives reassigned benefits from 1 practitioner
Practice locations: Warner Robins, GA

National Provider Directory

National Provider Directory

Locations

725 N Houston Rd
Warner Robins, GA 31093
Phone (478) 922-7272

259 Carl Vinson Pkwy
Ste 200
Warner Robins, GA 31088
Phone (478) 922-7272

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": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1801151386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 CARL VINSON PKWY STE 200",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885991",
            "telephone_number": "478-922-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 CARL VINSON PKWY STE 200",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885991",
            "telephone_number": "478-922-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN CHIROPRACTIC WELLNESS CENTER WR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "478-971-4274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID/ PTAN #:",
            "identifier": "35ZCDQV",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #...INDIVIDUAL/TYPE 1:",
            "identifier": "1740483536",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.