Individual provider Active NPI

Michael Rodge Waldrop Sr., D.C.

  • Chiropractor
  • Cairo, GA
National Provider Identifier
1952406100
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007773 Issued in GA
Practice address
26 3Rd Ave NW
Cairo, GA 39828-2000
Phone
(229) 377-1392
NPI assigned
Sep 13, 2006
Last updated
Feb 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007773 GA Primary

Addresses

Primary practice location

26 3Rd Ave NW
Cairo, GA 39828-2000

Mailing address

133 Dechene Dr
Thomasville, GA 31757-1728
Phone (229) 424-8558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051229000227 GA Practitioner - Chiropractic 2264454669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Spine and Joint Center, LLCGroup PAC ID 5294862090, 7 clinicians

Practice addresses (Care Compare)

202 S Madison St
Thomasville, GA 31792-5479
Phone (229) 226-1035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Georgia Spine and Joint Center, LLC Chiropractor CurrentSince Jun 1, 2010 Accepting new patients
South Georgia Spine and Joint Center, LLC Chiropractor CurrentSince Apr 5, 2010 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

517 S Scott St
Bainbridge, GA 39819
Phone (229) 416-4457

26 3rd Ave NW
Cairo, GA 39828
Phone (229) 377-1392

202 S Madison St
Thomasville, GA 31792
Phone (229) 226-1035

2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1952406100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 DECHENE DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317571728",
            "telephone_number": "229-424-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 3RD AVE NW",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398282000",
            "telephone_number": "229-377-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDROP",
        "first_name": "MICHAEL",
        "middle_name": "RODGE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.