Individual provider Active NPI

Ronnie Earl Bolar, DC

  • Chiropractor
  • Lithia Springs, GA
National Provider Identifier
1821514928
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009917 Issued in GA
Practice address
870 Crestmark Dr Ste 202
Lithia Springs, GA 30122-2665
Phone
(404) 781-9041
Fax
(678) 741-8997
NPI assigned
Aug 21, 2017
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009917 GA Primary

Addresses

Primary practice location

870 Crestmark Dr Ste 202
Lithia Springs, GA 30122-2665

Mailing address

870 Crestmark Dr Ste 202
Lithia Springs, GA 30122-2665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180108002737 GA Practitioner - Chiropractic 4880953371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

865 Thornton Rd
Suite B
Lithia Springs, GA 30122-2607

870 Crestmark Dr
Suite 202
Lithia Springs, GA 30122-2665
Phone (404) 781-9041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1821514928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CRESTMARK DR STE 202",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222665",
            "fax_number": "678-741-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CRESTMARK DR STE 202",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222665",
            "telephone_number": "404-781-9041",
            "fax_number": "678-741-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAR",
        "first_name": "RONNIE",
        "middle_name": "EARL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-21",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.