Organization Active NPI

David K Edwards D.C. , P.C.

  • Chiropractor
  • Tifton, GA
National Provider Identifier
1922379593
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
002085 Issued in GA
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

Updated by the provider on Nov 5, 2012

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00497923AMedicaidGA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.