Organization Active NPI

Family Chiropractors, PC

  • Chiropractor
  • Madison, GA
National Provider Identifier
1821277096
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5507 Issued in GA
Legal business name
FAMILY CHIROPRACTORS, PC
Practice address
1163 Eatonton Rd
Madison, GA 30650-2026
Phone
(706) 342-7115
Fax
(706) 342-7670
NPI assigned
Oct 24, 2007
Last updated
Oct 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Vince Campbell, DCNPI 1124107941
Title
President
Phone
(706) 342-7115

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 5507 GA Primary

Addresses

Primary practice location

1163 Eatonton Rd
Madison, GA 30650-2026

Mailing address

1163 Eatonton Rd
Madison, GA 30650-2026
Phone (706) 342-7115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110505000516 GA Part B Supplier - Clinic/Group Practice 9335324433 Receives reassigned benefits from 2 practitioners
Practice locations: Madison, GA

National Provider Directory

National Provider Directory

Locations

1163 Eatonton Rd
Madison, GA 30650
Phone (601) 443-8161

Practitioners & affiliated clinicians

Practitioners 3

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": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1821277096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 EATONTON RD",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306502026",
            "telephone_number": "706-342-7115",
            "fax_number": "706-342-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 EATONTON RD",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306502026",
            "telephone_number": "706-342-7115",
            "fax_number": "706-342-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTORS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "VINCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-342-7115",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5507",
            "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 Oct 24, 2007; 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.