Rebecca Patrick, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR011010 Issued in GA

Practice address

121 Harmony Xing Ste 6
Eatonton, GA 31024-9573

Phone

(706) 485-1010

NPI assigned

Jun 23, 2023

Last updated

Jun 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Edwards Former name

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Healthcare Physical Medicine LLCGroup PAC ID 3577853449, 6 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Healthcare Physical Medicine, LLC

  • Physical Medicine & Rehabilitation Physician
  • Mount Pleasant, SC
  • NPI 1245697424

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Abundant Life Family Chiropractic LLC

  • Pediatric Chiropractor
  • Goose Creek, SC
  • NPI 1245165984
  NPD Authorized official

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1902582158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 LAKE LAUREL RD NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HARMONY XING STE 6",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249573",
            "telephone_number": "706-485-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "EDWARDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oconee Health Services (Shoppers Pharmacy)
• Oconee Valley Healthcare Inc
• Oconee Valley Healthcare Inc
• Brenda D Parham, PT
• Pathfinders Counseling Services, Inc.
• Peaceful Purpose Hospice
• Peaceful Purpose Hospice of Georgia LLC
• Performance Chiropractic & Wellness
• Diane Peterman, MD
• Kimberly Young Phillips, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.