Individual provider Active NPI

Lesa A Amato, D.C.

  • Chiropractor
  • Kingsland, GA
National Provider Identifier
1891866273
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005559 Issued in GA
Practice address
2475 Village Dr
Suite 108
Kingsland, GA 31548-6728
Phone
(912) 882-8888
Fax
(912) 882-8889
NPI assigned
Nov 10, 2006
Last updated
Sep 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR005559 GA Primary

Addresses

Primary practice location

2475 Village Dr
Suite 108
Kingsland, GA 31548-6728

Mailing address

2475 Village Dr
Suite 108
Kingsland, GA 31548-6728
Phone (912) 882-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111230000014 GA Practitioner - Chiropractic 7113193897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amato Chiropractic ClinicGroup PAC ID 3072780741, 2 clinicians

Practice addresses (Care Compare)

2475 Village Dr
Suite 108
Kingsland, GA 31548-6729
Phone (912) 882-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR005559GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Amato Chiropractic Clinic Chiropractor CurrentSince Sep 13, 1996 Accepting new patients

Locations

2475 Village Dr
Ste 108
Kingsland, GA 31548
Phone (912) 882-8887

Interoperability endpoints

  • Direct secure messaging: drlesa@acwc0006.direct.chirotouch.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1891866273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 VILLAGE DR",
            "address_2": "SUITE 108",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486728",
            "telephone_number": "912-882-8888",
            "fax_number": "912-882-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 VILLAGE DR",
            "address_2": "SUITE 108",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486728",
            "telephone_number": "912-882-8888",
            "fax_number": "912-882-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMATO",
        "first_name": "LESA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.