William Logan Hart, B.S., D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CHIR009394 Issued in GA

Practice address

2836 Highway 54
Dynamic Spine Center
Peachtree City, GA 30269

Phone

(770) 876-2229

NPI assigned

Oct 9, 2014

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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Spine CenterGroup PAC ID 0941512305, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

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.

• Dynamic Spine Center

  • Rehabilitation Chiropractor
  • Peachtree City, GA
  • NPI 1699174896

  Sports Physician

  Medicare reassignment Care Compare group NPD
• Dynamic Spine II Center LLC

  • Orthopedic Chiropractor
  • Newnan, GA
  • NPI 1235609041
  Medicare reassignment NPD

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1891199543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 HIGHWAY 54",
            "address_2": "DYNAMIC SPINE CENTER",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "30269",
            "telephone_number": "770-876-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 HIGHWAY 54",
            "address_2": "DYNAMIC SPINE CENTER",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "30269",
            "telephone_number": "770-876-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "WILLIAM",
        "middle_name": "LOGAN",
        "name_prefix": "Mr.",
        "credential": "B.S., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "CHIR009394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russel E Harrah, D.M.D.
• Richard Talley Harrell, RPH
• Erinn Renee Harris-James, MD
• Courtney Harris
• Felisa Harris
• Melissa Lynn Catherine Harvey, MSN, FNP-C, FNP-BC
• Zachery Louis Hasekoester, ATC, M.ED.
• Jonathan W Hathaway, M.D.
• Kellie Hauck
• Paul L Haun, M.D.

• Sports Physician Chiropractor in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Sports Physician Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.