Jaedyn Allen, DC
Individual provider Active NPI Chiropractor · Canton, GA
NPI 1942917422 · NPPES record last updated Nov 3, 2022
Key facts
- NPI
- 1942917422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIR010887 (GA)
- Practice address
- 103 Drury LN
Canton, GA 30114-8777 - Phone
- (607) 591-7443
- NPI assigned
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Ledford Chiropractic, P.C.
Practice addresses (Care Compare)
200 Professional CT SE
Suite 1
Calhoun, GA 30701-7066
Phone (706) 602-9696
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251010002786 | GA | Practitioner - Chiropractic | 3577060813 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ledford Chiropractic, P.C. | Chiropractor | Current |
Accepting new patients |
| Ledford Chiropractic, P.C. | Chiropractor | Past |
Accepting new patients |
Locations
200 Professional Ct SE
Ste 1
Calhoun, GA 30701
Phone (706) 602-9696
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR010887 | GA | Yes |
Addresses
Primary practice location
103 Drury LN
Canton, GA 30114-8777
Mailing address
103 Drury LN
Canton, GA 30114-8777
Phone (607) 591-7443
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CHIR010887 | Other | GA | CHIROPRACTIC LICENSE |
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.