Individual provider Active NPI

Kathryn E Lewis-Padgett, D.C.

  • Chiropractor
  • Douglasville, GA
National Provider Identifier
1831127703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO006715 Issued in GA
Practice address
4935 Stewart Mill Rd
Suite 101
Douglasville, GA 30135-6733
Phone
(678) 838-4433
Fax
(678) 838-4093
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO006715 GA Primary

Addresses

Primary practice location

4935 Stewart Mill Rd
Suite 101
Douglasville, GA 30135-6733

Mailing address

5163 W Chapel Hill Rd
Douglasville, GA 30135-4937
Phone (678) 883-8443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301000290 GA Practitioner - Chiropractic 9335035013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3680 Kings Hwy
Douglasville, GA 30135

3680 Kings Hwy
Douglasville, GA 30135-3336
Phone (678) 838-4433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO006715GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Family Chiropractic, P.C. Chiropractor CurrentSince Sep 1, 2003 Accepting new patients
Dr Nanci L Bishop DC PC Chiropractor Past Accepting new patients

Locations

3680 Kings Hwy
Douglasville, GA 30135
Phone (678) 838-4433

4935 Stewart Mill Rd
Ste 101
Douglasville, GA 30135
Phone (678) 838-4433

Organizations & group practices 2

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831127703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5163 W CHAPEL HILL RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354937",
            "telephone_number": "678-883-8443",
            "fax_number": "678-838-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 STEWART MILL RD",
            "address_2": "SUITE 101",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301356733",
            "telephone_number": "678-838-4433",
            "fax_number": "678-838-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-PADGETT",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO006715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.