Ace Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

GA006651 Issued in GA

Legal business name

ACE FAMILY CHIROPRACTIC

Practice address

575 East King Avenue
Kingsland, GA 31548

Phone

(912) 729-2900

Fax

(912) 729-2901

NPI assigned

Jul 5, 2006

Last updated

Feb 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angela May Evagash, D.C.NPI 1669640694

Title

President

Phone

(912) 729-2900

Specialties & licenses 1

Addresses

Locations

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.

• Angela May Evagash, D.C.

  • Chiropractor
  • Kingsland, GA
  • NPI 1669640694
  Authorized official Same address or phone

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1881625549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 EAST KING AVENUE",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "31548",
            "telephone_number": "912-729-2900",
            "fax_number": "912-729-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 EAST KING AVENUE",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "31548",
            "telephone_number": "912-729-2900",
            "fax_number": "912-729-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "EVAGASH",
        "authorized_official_first_name": "ANGELA MAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-729-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "GA006651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.