Individual provider Active NPI

Shaun Nicholas Price, D.C.

  • Chiropractor
  • Leesburg, GA
National Provider Identifier
1851572473
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008273 Issued in GA
Practice address
1477 US Highway 19 S
Leesburg, GA 31763-4868
Phone
(229) 436-1191
NPI assigned
Nov 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008273 GA Primary

Addresses

Primary practice location

1477 US Highway 19 S
Leesburg, GA 31763-4868

Mailing address

1477 US Highway 19 S
Leesburg, GA 31763-4868
Phone (229) 942-9511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090121000376 GA Practitioner - Chiropractic 2365506276 Practice locations: Leesburg, GA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1477 US Hwy 19 S
Leesburg, GA 31763-4868
Phone (229) 436-1191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bartram Chiropractic Inc Chiropractor CurrentSince Jan 26, 2022 Accepting new patients
Shaun N. Price DC, LLC Chiropractor CurrentSince Aug 25, 2019 Accepting new patients
M. Chad Larsen DC PC Chiropractor CurrentSince Jul 21, 2024 Accepting new patients

Locations

9785 Crosshill Blvd
Ste 108
Jacksonville, FL 32222
Phone (904) 772-6522

13720 Old St Augustine Rd
Ste 4
Jacksonville, FL 32258
Phone (904) 268-9100

152 Robert B Lee Dr
Unit 31
Leesburg, GA 31763

1477 US Highway 19 S
Leesburg, GA 31763
Phone (229) 436-1191

Organizations & group practices 3

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": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1851572473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 US HIGHWAY 19 S",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634868",
            "telephone_number": "229-942-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 US HIGHWAY 19 S",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634868",
            "telephone_number": "229-436-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "SHAUN",
        "middle_name": "NICHOLAS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2024-07-16",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.