Ashley Wedgworth, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009149 Issued in GA

Practice address

104 Mirramont Lake Dr
Woodstock, GA 30189-8213

Phone

(770) 517-5610

Fax

(770) 517-5611

NPI assigned

Feb 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brannan Chiropractic LLC

  • Chiropractor
  • Woodstock, GA
  • NPI 1477714186
  NPD (past)

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1891110136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2563",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301020010",
            "telephone_number": "770-517-5610",
            "fax_number": "770-517-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MIRRAMONT LAKE DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898213",
            "telephone_number": "770-517-5610",
            "fax_number": "770-517-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDGWORTH",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwyn Morgan Watson
• Katie Jeanes Watson
• Jason Edward Watts, PMHNP
• Jill Levey Waxman, PHD
• Weatherstone Medical Care LLC.
• Michele Cloy Weeks, PT
• Samuel Wehby Jr., PT
• Steven A Weiskopf, D.P.M.
• Jessica A Welker, PHARM.D.
• Wellness Wagon Chiropractic, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.