Organization Active NPI

Amy Kitching, PC

Doing business as Southern Chiropractic

  • Chiropractor
  • Statesboro, GA
National Provider Identifier
1801210927
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AMY KITCHING, PC
Doing business as
Southern Chiropractic
Practice address
2 Ed Moore CT
Statesboro, GA 30458-6027
Phone
(912) 243-9200
Fax
(912) 243-9207
NPI assigned
Feb 10, 2014
Last updated
May 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Amy O KitchingNPI 1316021272
Title
Insurance/Credentialing Clerk
Phone
(912) 243-9200

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 NU Primary

Addresses

Primary practice location

2 Ed Moore CT
Statesboro, GA 30458-6027

Mailing address

2 Ed Moore CT
Statesboro, GA 30458-5024
Phone (912) 243-9200

Other identifiers 1

IdentifierTypeStateIssuer
00883748AMedicaidGA

Other names 1

  • Southern Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140619001490 GA Part B Supplier - Clinic/Group Practice 0345464012 Receives reassigned benefits from 1 practitioner
Practice locations: Statesboro, GA

National Provider Directory

National Provider Directory

Locations

2 Ed Moore Ct
Statesboro, GA 30458
Phone (912) 243-9200

Practitioners & affiliated clinicians

Practitioners 2

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": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1801210927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ED MOORE CT",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585024",
            "telephone_number": "912-243-9200",
            "fax_number": "912-243-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ED MOORE CT",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586027",
            "telephone_number": "912-243-9200",
            "fax_number": "912-243-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY KITCHING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "KITCHING",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "INSURANCE/CREDENTIALING CLERK",
        "authorized_official_telephone_number": "912-243-9200"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00883748A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.