Individual provider Active NPI

Alisha Murray Mayheu, D.C.

  • Chiropractor
  • Fayetteville, GA
National Provider Identifier
1821329293
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008592 Issued in GA
Practice address
185 Georgia Ave E
Fayetteville, GA 30214-1615
Phone
(770) 461-0055
Fax
(770) 461-7740
NPI assigned
Jan 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008592 GA Primary

Addresses

Primary practice location

185 Georgia Ave E
Fayetteville, GA 30214-1615

Mailing address

185 Georgia Ave E
Fayetteville, GA 30214-1615
Phone (770) 461-0055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110502000014 GA Practitioner - Chiropractic 9234314576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

148 Georgia Ave E
Suite a
Fayetteville, GA 30214-1615

148 Georgia Ave E
Suite a
Fayetteville, GA 30214-1616
Phone (770) 461-0055

185 Georgia E Ave
Fayetteville, GA 30214-1615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CHIR008592GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Body in Balance Chiropractic & Wellness Center, LLC Chiropractor CurrentSince Feb 14, 2011 Accepting new patients

Locations

185 Georgia Ave E
Fayetteville, GA 30214
Phone (770) 461-0055

148 Georgia Ave E
Ste A
Fayetteville, GA 30214
Phone (314) 504-6903

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1821329293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 GEORGIA AVE E",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141615",
            "telephone_number": "770-461-0055",
            "fax_number": "770-461-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 GEORGIA AVE E",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141615",
            "telephone_number": "770-461-0055",
            "fax_number": "770-461-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYHEU",
        "first_name": "ALISHA",
        "middle_name": "MURRAY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-24",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.