Individual provider Active NPI

Jack E Rushing Mongil, DC

  • Chiropractor
  • Dalton, GA
National Provider Identifier
1841906963
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010949 Issued in GA
Practice address
715 S Thornton Ave
Dalton, GA 30720-8213
Phone
(706) 609-0023
NPI assigned
Jan 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010949 GA Primary

Addresses

Primary practice location

715 S Thornton Ave
Dalton, GA 30720-8213

Mailing address

715 S Thornton Ave
Dalton, GA 30720-8213
Phone (706) 609-0023

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128001885 TN Practitioner - Chiropractic 8921470865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Chiropractic PLCGroup PAC ID 9739409137, 4 clinicians

Practice addresses (Care Compare)

1031 Riverside Dr
Suite I
Franklin, TN 37064-6504
Phone (615) 920-4550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010949GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Chiropractic PLC Chiropractor CurrentSince Nov 10, 2024 Accepting new patients
Pray Chiropractic PC Chiropractor PastSince Jan 24, 2023 Accepting new patients

Locations

1031 Riverside Dr
Ste I
Franklin, TN 37064
Phone (615) 468-6697

525 N Thompson Ln
Murfreesboro, TN 37129
Phone (615) 900-1994

6900 Lenox Village Dr
Ste 11
Nashville, TN 37211
Phone (615) 864-7002

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1841906963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S THORNTON AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208213",
            "telephone_number": "706-609-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S THORNTON AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208213",
            "telephone_number": "706-609-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHING MONGIL",
        "first_name": "JACK",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.