Melissa Marie Georgevitch, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2017014856 Issued in MO

Practice address

724 W Osage St
Pacific, MO 63069

Phone

(636) 422-0174

NPI assigned

May 18, 2017

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

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Melissa Georgevitch Chiropractic LLC

  • Health Service Clinic/Center
  • Pacific, MO
  • NPI 1760038392
  Medicare reassignment NPD Authorized official
• Back on Track Eureka, LLC

  • Chiropractor
  • Eureka, MO
  • NPI 1417747783
  NPD (past)

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1891222022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 W OSAGE ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691219",
            "telephone_number": "636-422-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W OSAGE ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "63069",
            "telephone_number": "636-422-0174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Front St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Labadie",
            "state": "MO",
            "postal_code": "630551223",
            "country_code": "US",
            "telephone_number": "636-742-3733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Front Street",
            "address_purpose": "LOCATION",
            "city": "Labadie",
            "state": "MO",
            "postal_code": "630551223",
            "country_code": "US",
            "telephone_number": "636-742-3733",
            "fax_number": "636-742-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGEVITCH",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2017014856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haleigh Marie-Goodman Cook, DC
• Joan Copeland, OTA
• Darlene M Cox, LPC
• Morgan Dahm, PHARMD
• Elizabeth M Forister, LPN
• Melanie Gilcrease, OTR
• William Austin Gillam III, DDS
• Julie Elizabeth Griffin, ANP
• Krystina Gullet
• Joseph Chad Gumm, PTA

• Chiropractor in Pacific, MO
• Providers in Pacific, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.