Active NPI
Wesley E Wilvert, D.C.
- Chiropractor
- Carrollton, GA
National Provider Identifier
1992839252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1135
- Practice address
- 486 Bankhead Hwy
Carrollton, GA 30117-2445 - Phone
- (770) 834-7477
- Fax
- (770) 834-3648
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1135 | GA | Primary |
| Chiropractor | 111N00000X | 1944 | CO | |
| Chiropractor | 111N00000X | 12101 | CA |
Addresses
Primary practice location
486 Bankhead Hwy
Carrollton, GA 30117-2445
Mailing address
486 Bankhead Hwy
Carrollton, GA 30117-2445
Phone (770) 834-7477
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1944 | CO | MD | Chiropractor |
| 1135 | GA | MD | Chiropractor |
| 12101 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter G. Lazarnick, P.C. | Chiropractor | Past | 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.
-
- Chiropractor
- Carrollton, GA
- NPI 1366610503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992839252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "486 BANKHEAD HWY",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301172445",
"telephone_number": "770-834-7477",
"fax_number": "770-834-3648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "486 BANKHEAD HWY",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301172445",
"telephone_number": "770-834-7477",
"fax_number": "770-834-3648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILVERT",
"first_name": "WESLEY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "1135",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "1944",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "12101",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.