Active NPI
Geoffrey A Powell, D.C.
- Chiropractor
- Newberry, FL
National Provider Identifier
1962430769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8755
- Practice address
- 14212 W Newberry Rd
Newberry, FL 32669-2765 - Phone
- (352) 331-9229
- Fax
- (352) 331-9230
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8755 | FL | Primary |
Addresses
Primary practice location
14212 W Newberry Rd
Newberry, FL 32669-2765
Mailing address
14212 W Newberry Rd
Newberry, FL 32669-2765
Phone (352) 331-9229
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89452 | Other | FL | BLUE CROSS BLUE SHIELDS |
| 381966300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051025000515 | FL | Practitioner - Chiropractic | 1557387008 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
107 SW 140TH Ter
Suite 1
Newberry, FL 32669-3367
Phone (352) 331-9229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powell Chiropractor Inc. | Chiropractor | Current | Accepting new patients |
Locations
107 SW 140th Ter
Ste 1
Newberry, FL 32669
Phone (352) 331-3248
14212 W Newberry Rd
Newberry, FL 32669
Phone (352) 231-9229
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.
-
- Chiropractor
- Newberry, FL
- NPI 1750559613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1962430769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14212 W NEWBERRY RD",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326692765",
"telephone_number": "352-331-9229",
"fax_number": "352-331-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14212 W NEWBERRY RD",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326692765",
"telephone_number": "352-331-9229",
"fax_number": "352-331-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "GEOFFREY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELDS",
"identifier": "89452",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381966300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.