Organization Active NPI

Covenant Chiropractic Center PC

  • Chiropractor
  • Cochran, GA
National Provider Identifier
1851444103
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005109
Legal business name
COVENANT CHIROPRACTIC CENTER PC
Practice address
169 W Dykes Street
Cochran, GA 31014
Phone
(478) 934-8855
Fax
(478) 934-8855
NPI assigned
Jan 19, 2007
Last updated
Aug 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Dr. Kathy D Wood, DCNPI 1740271154
Title
Dr of Chiropractic
Phone
(478) 934-8855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 005109 Primary

Addresses

Primary practice location

169 W Dykes Street
Cochran, GA 31014

Mailing address

169 W Dykes Street
Cochran, GA 31014
Phone (478) 934-8855

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1851444103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 W DYKES STREET",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "31014",
            "telephone_number": "478-934-8855",
            "fax_number": "478-934-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 W DYKES STREET",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "31014",
            "telephone_number": "478-934-8855",
            "fax_number": "478-934-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "478-934-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "005109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cochran, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.