Everette R Umberger, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR005279 Issued in GA

Practice address

5640 Old National Hwy
College Park, GA 30349-3834

Phone

(404) 768-8008

Fax

(404) 768-9303

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1983

Medicare assignment

May accept Medicare assignment

Group practices

Humber-Kirk Chiropractic Clinic, LLCGroup PAC ID 2466418207, 5 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.

• Humber-Kirk Chiropractic Clinic, LLC

  • Chiropractor
  • Sharpsburg, GA
  • NPI 1841417631
  Medicare reassignment Care Compare group NPD
• Humber-Kirk Chiropractic Clinic, LLC

  • Chiropractor
  • Sharpsburg, GA
  • NPI 1689891483
  NPD
• Atlas Integrative Medicine and Spine Center LLC

  • General Practice Physician
  • Sharpsburg, GA
  • NPI 1245579234
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861611063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 OLD NATIONAL HWY",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493834",
            "telephone_number": "404-768-8008",
            "fax_number": "404-768-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 OLD NATIONAL HWY",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493834",
            "telephone_number": "404-768-8008",
            "fax_number": "404-768-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMBERGER",
        "first_name": "EVERETTE",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "010525",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debora Elaine Turner
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• Ultimate Health Services
• Ultra Image Medical Diagnostics and Associates LLC
• Helen O Uzokwe, NP-C, DNP
• Justin Vassell
• Sharcola Denise Vaughn, D.M.D.
• Victor J Blake & Associates
• Victor J Blake Associates

• Chiropractor in College Park, GA
• Providers in College Park, GA by specialty
• Chiropractor in Georgia

• 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.