George Glennwood Osgoodby Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008665 Issued in GA

Practice address

1592 Mars Hill Rd
Suite B
Watkinsville, GA 30677-4890

Phone

(706) 769-9009

Fax

(706) 769-9885

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Life Chiropractic College, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine Pain Center Surfside LLCGroup PAC ID 7719399005, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spine Pain Center Surfside LLC

  dba Spine Pain Center Surfside

  • Chiropractor
  • Surfside Beach, SC
  • NPI 1861094955
  Medicare reassignment Care Compare group NPD
• Fuller Life Chiropractic Center PC

  • Chiropractor
  • Manchester, GA
  • NPI 1417129081
  Medicare reassignment NPD
• Health for Life LLC

  dba HealthSource of Cumming

  • Chiropractor
  • Cumming, GA
  • NPI 1245683887
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1831310416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 MARS HILL RD",
            "address_2": "SUITE B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774890",
            "telephone_number": "706-769-9009",
            "fax_number": "706-769-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 MARS HILL RD",
            "address_2": "SUITE B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774890",
            "telephone_number": "706-769-9009",
            "fax_number": "706-769-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSGOODBY",
        "first_name": "GEORGE",
        "middle_name": "GLENNWOOD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00399800",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilson Omesiete, MD
• Optical Experts, LLC
• Origins Spine and Joint Physicians, LLC
• Timothy Jay Orlowski, MD
• Krystal Nicole Osborne, FNP-C
• Vanessa E Outlaw, LAPC
• Emily Corinne Overton
• Raven Oyagha
• Cathi Palmer
• Ken H. Park, M.D.

• Chiropractor in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.