Chad Alan Vermeulen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10421 Issued in GA

Practice address

920 S Milledge Ave
Athens, GA 30605-1334

Phone

(706) 546-7700

NPI assigned

Mar 20, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Five Points Chiropractic, P C

  • Chiropractor
  • Athens, GA
  • NPI 1437497252
  NPD

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1891236139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WOODCREST DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062337",
            "telephone_number": "605-770-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051334",
            "telephone_number": "706-546-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 S Iowa St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mitchell",
            "state": "SD",
            "postal_code": "573013888",
            "country_code": "US",
            "telephone_number": "605-999-5537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMEULEN",
        "first_name": "CHAD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1310",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CH10421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF GEORGIA, MEDICARE, UNITEDHEALTHCARE, CIGNA",
            "identifier": "1891236139",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marilyn Anne Vickers, PH.D.
• Courtney Vickery, MS, RD, LD
• Victor a. Morales, MD, PC
• Victor E Payton MD, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.