MARK W VANDINE (NPI# 1588847552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588847552 |
| Entity Type | Organization |
| Organization Name | MARK W VANDINE |
| Other Organization Name | ACCIDENT AND INJURY CHIROPRACTIC CENTER |
| Practice Address |
27 Bullsboro Dr Newnan GA 30263-1570 |
| Practice Telephone | 7702513238 |
| Practice Fax Number | 7702515340 |
| Mailing Telephone | 7702513238 |
| Mailing Fax Number | 7702515340 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |
| Authorized Official Name | MRS. ANGELA M PIERCE (BILLING ASSISTANT) |
| Authorized Official Telephone | 7702513238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIRO1988 | GA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE GROUP NUMBER | 006501 | 01 |
| Other Name | Type Code |
|---|---|
| ACCIDENT AND INJURY CHIROPRACTIC CENTER | Doing Business As Name - Organization |
| Street Address |
27 BULLSBORO DR |
| City | NEWNAN |
| State | GA |
| Zip Code | 30263-1570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487869491 | Mark Wayne Vandine | Chiropractor | 27 Bullsboro Dr, Newnan, GA 30263-1570 | 2007-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
| 1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
| 1316240427 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 395 Jackson St, Newnan, GA 30263 | 2010-12-10 |
| Find all providers in zip 30263 | ||||
| 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 |
|---|---|---|---|---|
| 1740742352 | Liberty Chiropractic Inc | Chiropractor | 2594 Highway 34 E Ste A, Newnan, GA 30265-1328 | 2019-04-02 |
| 1801270012 | Matthew Dale Goode | Chiropractor | 117 Jeb Stuart Dr, Newnan, GA 30265-2118 | 2015-07-17 |
| 1336423409 | Balanced Family Wellness | Chiropractor | 931 Lower Fayetteville Rd Ste H, Newnan, GA 30263-5790 | 2011-10-06 |
| 1023396561 | Eric Legault | Chiropractor | 120 Werz Industrial Dr., Newnan, GA 30263-5802 | 2011-08-02 |
| 1912290677 | Christy Moore | Chiropractor | 2753 Highway 34 E Ste 1, Newnan, GA 30265-2316 | 2011-05-26 |
| 1295035392 | A Caring Touch Wellness Center | Chiropractor | 144 Temple Avenue, Newnan, GA 30263 | 2010-10-25 |
| 1760790810 | Jennifer Ann Mcgehee | Chiropractor | 802 Lower Fayetteville Rd, Suite A, Newnan, GA 30263-5768 | 2010-09-22 |
| 1952632705 | Sandra Lucille Turner | Chiropractor | 55 Roscoe Rd, Newnan, GA 30263-1148 | 2010-01-19 |
| 1740497841 | Ralph D Davis | Chiropractor | 29 Millard Farmer Ind Blvd, Suite A1, Newnan, GA 30263-5821 | 2007-05-17 |
| 1487869491 | Mark Wayne Vandine | Chiropractor | 27 Bullsboro Dr, Newnan, GA 30263-1570 | 2007-05-12 |
| Find all providers in NEWNAN | ||||
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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.