DYNAMIC SPINE II CENTER LLC (NPI# 1235609041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235609041 |
| Entity Type | Organization |
| Organization Name | DYNAMIC SPINE II CENTER LLC |
| Practice Address |
21 Market Square Way Ste 103 Newnan GA 30265-5712 |
| Practice Telephone | 7702296141 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | RANDALL RANSOM (CEO) |
| Authorized Official Telephone | 3343220906 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
Chiropractic Providers |
| Street Address |
21 MARKET SQUARE WAY STE 103 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-5712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134337223 | W David Hall | Chiropractor | 104 E Hall St, Thomson, GA 30824-2726 | 2007-05-20 |
| 1639214208 | James Kevin Donohue | Chiropractor | 6094 Odell St, Cumming, GA 30040-5704 | 2007-02-21 |
| 1629111505 | Paul V Wickster | Chiropractor | 1590 Prince Ave, Athens, GA 30606-6006 | 2007-02-14 |
| 1851434476 | Harry Ellsworth Siegrist IIi | Chiropractor | 1781 Veterans Memorial Hwy Ste 1a, Austell, GA 30168-7965 | 2007-02-14 |
| 1326193947 | Alejandro Serrano | Chiropractor | 4852 Jimmy Carter Blvd, Norcross, GA 30093-3643 | 2007-01-24 |
| 1972687762 | Jeffrey Berklich | Chiropractor | 1101 Cambridge Sq, Ste B, Alpharetta, GA 30004-1865 | 2006-10-25 |
| 1114001245 | David Saverio Ficco | Chiropractor | 1885 Lawrenceville Suwanee Rd, Suite 130, Lawrenceville, GA 30043-1408 | 2006-10-25 |
| 1073618229 | Katharine Maxine Geier | Chiropractor | 2453 N Decatur Rd, Decatur, GA 30033-6101 | 2006-09-13 |
| 1053420265 | Deborah Caroline Tucker | Chiropractor | 2769 Chastain Meadows Pkwy, 130, Marietta, GA 30066-3369 | 2006-08-30 |
| 1215970355 | Robert L. Alpert | Chiropractor | 7202 Tara Blvd, Jonesboro, GA 30236-1902 | 2006-06-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.