Individual provider Active NPI

Kim Fredric Lombardy, DC

  • Chiropractor
  • Augusta, GA
National Provider Identifier
1932297058
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001583 Issued in GA
Practice address
211 Pleasant Home Rd Ste F2
Augusta, GA 30907-0558
Phone
(706) 922-7746
Fax
(706) 922-7747
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001583 GA Primary

Addresses

Primary practice location

211 Pleasant Home Rd Ste F2
Augusta, GA 30907-0558

Mailing address

211 Pleasant Home Rd Ste F-2
Augusta, GA 30907-0518
Phone (706) 922-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100208000324 GA Practitioner - Chiropractic 5991848384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Lombardy Chiropractic Clinic P.C.Group PAC ID 9335327253, 2 clinicians

Practice addresses (Care Compare)

211 Pleasant Home Rd
Suite F2
Augusta, GA 30907-0558
Phone (706) 922-7746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1583GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lombardy Chiropractic Clinic P.C. Chiropractor CurrentSince Jul 1, 2011 Accepting new patients

Locations

211 Pleasant Home Rd
Ste F2
Martinez, GA 30907
Phone (706) 922-7746

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1932297058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PLEASANT HOME RD STE F-2",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070518",
            "telephone_number": "706-922-7746",
            "fax_number": "706-922-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PLEASANT HOME RD STE F2",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070558",
            "telephone_number": "706-922-7746",
            "fax_number": "706-922-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDY",
        "first_name": "KIM",
        "middle_name": "FREDRIC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "001583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.