Individual provider Active NPI

Quentin Max Huston, D.C.

  • Chiropractor
  • Pooler, GA
National Provider Identifier
1962694703
Registry record updated Feb 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO11064 Issued in GA
Practice address
1147 US Highway 80 W Ste B
Pooler, GA 31322-2199
Phone
(912) 748-1506
Fax
(912) 748-1507
NPI assigned
Aug 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06953 IA
Chiropractor 111N00000X CHIRO11064 GA Primary

Addresses

Primary practice location

1147 US Highway 80 W Ste B
Pooler, GA 31322-2199

Mailing address

1147 US Highway 80 W Ste B
Pooler, GA 31322-2199
Phone (912) 748-1506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO11064GAMDChiropractor
06953IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pulley Chiropractic Inc Chiropractor PastSince Feb 2, 2004 Accepting new patients

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": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739664000000",
    "number": "1962694703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 US HIGHWAY 80 W STE B",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222199",
            "telephone_number": "912-748-1506",
            "fax_number": "912-748-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 US HIGHWAY 80 W STE B",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222199",
            "telephone_number": "912-748-1506",
            "fax_number": "912-748-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "QUENTIN",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06953",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO11064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.