Fulp Spinal Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO09592 Issued in GA

Legal business name

FULP SPINAL WELLNESS CENTER, LLC

Practice address

114 12TH St W Ste F
Tifton, GA 31794-6976

Phone

(229) 402-7833

NPI assigned

Jan 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Sonya Fulp, DCNPI 1962873083

Title

Chiropractor

Phone

(229) 402-7833

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sonya Dunn Fulp, DC

  • Chiropractor
  • Tifton, GA
  • NPI 1962873083
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1922464825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 12TH ST W STE F",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317946976",
            "telephone_number": "229-402-7833",
            "fax_number": "229-472-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 12TH ST W STE F",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317946976",
            "telephone_number": "229-402-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULP SPINAL WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "FULP",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "229-402-7833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO09592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fulpspinalwellness@icloud.com",
            "affiliation": "N",
            "address_1": "114 12th St W Ste F",
            "city": "Tifton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317946976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Logan Franks, CRNA
• Kristi H Freeman
• Kathryn Fulghum, DPT
• Timothy Fuller, MD
• Fulp Family Dentistry, LLC
• James Fulp
• Jamie Fulp, DC
• Nicole Berger Fulp, DMD
• Scott Robison Fulp, D.M.D.
• Sonya Dunn Fulp, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.