Jamie Braddy, D.C.
Individual provider Active NPI Chiropractor · Douglas, GA
NPI 1972907616 · NPPES record last updated Jul 29, 2019
Key facts
- NPI
- 1972907616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIR009391 (GA)
- Practice address
- 1103 Madison Ave N
Douglas, GA 31533-2803 - Phone
- (912) 384-3002
- Fax
- (912) 383-4691
- NPI assigned
- Oct 9, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrity Health Options, PA
Practice addresses (Care Compare)
627 Withrow Rd
Forest City, NC 28043-9695
Phone (828) 245-4002
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200323002228 | NC | Practitioner - Chiropractic | 1951627918 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009391 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Health Options, PA | Chiropractor | Current |
Accepting new patients |
| Alignpro Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
1103 Madison Ave N
Douglas, GA 31533
Phone (912) 384-3002
627 Withrow Rd
Forest City, NC 28043
Phone (828) 245-4002
1322 W Main St
Forest City, NC 28043
Phone (828) 245-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009391 | GA | Yes |
Addresses
Primary practice location
1103 Madison Ave N
Douglas, GA 31533-2803
Mailing address
1103 Madison Ave N
Douglas, GA 31533-2803
Phone (912) 384-3002
Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2019. 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.