Active NPI
David K Edwards D.C. , P.C.
- Chiropractor
- Tifton, GA
National Provider Identifier
1922379593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 002085
- Legal business name
- DAVID K EDWARDS D.C. , P.C.
- Practice address
- 201 Central Ave N Ste I
Tifton, GA 31794-4300 - Phone
- (229) 386-0227
- Fax
- (229) 386-0336
- NPI assigned
- Jan 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David K Edwards, D.C.
- Title
- Chiropractor
- Phone
- (229) 386-0227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 002085 | GA | Primary |
Addresses
Primary practice location
201 Central Ave N Ste I
Tifton, GA 31794-4300
Mailing address
201 Central Ave N Ste I
Tifton, GA 31794-4300
Phone (229) 386-0227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00497923A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
201 Central Ave N
Ste I
Tifton, GA 31794
Phone (229) 386-0227
201 Central Ave N
#201
Tifton, GA 31794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352073600000",
"number": "1922379593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CENTRAL AVE N STE I",
"city": "TIFTON",
"state": "GA",
"postal_code": "317944300",
"telephone_number": "229-386-0227",
"fax_number": "229-386-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CENTRAL AVE N STE I",
"city": "TIFTON",
"state": "GA",
"postal_code": "317944300",
"telephone_number": "229-386-0227",
"fax_number": "229-386-0336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID K EDWARDS D.C. , P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-13",
"last_updated": "2012-11-05",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "229-386-0227",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "002085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00497923A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tifton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.