Robert Michael Stevens, DC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009613 Issued in GA

Practice address

1505 Lafayette Pkwy
Lagrange, GA 30241-2513

Phone

(706) 882-5737

Fax

(706) 882-5737

NPI assigned

Apr 21, 2008

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

National College of Chiropractic, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back to Life Chiropractic Center IncGroup PAC ID 5193917466, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Back to Life Chiropractic Center Inc

  • Chiropractor
  • Lagrange, GA
  • NPI 1033384094
  Medicare reassignment Care Compare group NPD
• RMS DC PC

  • Chiropractor
  • Chicago, IL
  • NPI 1982767018
  NPD (past) Authorized official
• Back to Life Chiropractic Center II

  • Chiropractor
  • Roanoke, AL
  • NPI 1306700737
  NPD

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1891969853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LAFAYETTE PKWY",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412513",
            "telephone_number": "706-882-5737",
            "fax_number": "706-882-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 LAFAYETTE PKWY",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412513",
            "telephone_number": "706-882-5737",
            "fax_number": "706-882-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-21",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Tyre Stancill
• Christopher Adam Stanley, PA-C
• Nicole Stanton, RPH
• Joseph Steiner
• Steven P Teaver DMD PC
• Ashley H Stewart, MD
• Raeanitia Dawn Stewart, LMSW
• Walter Stewart, DDS
• John W. Stich, M.D.
• Still Waters Counseling and Assessments Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.