DR. HENRY L LEAVENGOOD (NPI# 1346304078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346304078 |
| Entity Type | Individual |
| Full Name | DR. HENRY L LEAVENGOOD |
| Credential | D.C. |
| Practice Address |
1238 S Houston Lake Rd Ste 3 Warner Robins GA 31088-0723 |
| Practice Telephone | 4789884663 |
| Practice Fax Number | 4789884881 |
| Mailing Telephone | 4789884663 |
| Mailing Fax Number | 4789884881 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR002823 | GA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE GROUP NUMBER | GRP6135 | 01 |
| Street Address |
1238 S HOUSTON LAKE RD STE 3 |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-0723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134670599 | Lara Kile | Chiropractor | 1238 S Houston Lake Rd, Suite 3, Warner Robins, GA 31088-0723 | 2016-10-20 |
| 1164617171 | Leavengood Chiropractic, PC | Chiropractor | 1238 S Houston Lake Rd, Ste 3, Warner Robins, GA 31088-0723 | 2007-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003461104 | Schuyler Matthew Whelan | Chiropractor | 4027 Watson Blvd Ste 180, Warner Robins, GA 31093-9544 | 2019-08-06 |
| 1922665355 | Chiropractic Care & Rehabilitation, LLC | Chiropractor | 2811 Watson Blvd Ste 3, Warner Robins, GA 31093-8594 | 2019-05-21 |
| 1396016648 | Dusty Large | Chiropractor | 1237 S Houston Lake Rd, Suite 3, Warner Robins, GA 31088-2708 | 2012-01-18 |
| 1275853707 | Christopher Eugene Breon | Chiropractor | 2278 Moody Rd Ste C, Warner Robins, GA 31088-1925 | 2010-06-07 |
| 1578744330 | Vizzini Chiropractic Clinic | Chiropractor | 2611 Moody Rd Ste B, Warner Robins, GA 31088-7757 | 2007-11-21 |
| 1922208909 | Butler Chiropractic | Chiropractor | 2278-c Moody Rd., Warner Robins, GA 31088 | 2007-07-19 |
| 1740483536 | Gregory Shannon Brown | Chiropractor | 259 Carl Vinson Pkwy Ste 200, Warner Robins, GA 31088-5991 | 2007-06-08 |
| 1497967152 | Andrew Nicoletti | Chiropractor | 1516 Watson Blvd, Warner Robins, GA 31093-3432 | 2007-05-04 |
| 1639218597 | Gregory Alan Gosline | Chiropractor | 235 Carl Vinson Pkwy, Warner Robins, GA 31088-5815 | 2007-02-06 |
| 1205985892 | Jacqueline Frances Kilraine | Chiropractor | 530 S Houston Lake Rd, Warner Robins, GA 31088-6308 | 2007-01-10 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
Please comment or provide details below to improve the information on DR. HENRY L LEAVENGOOD.
| 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.