LIFE OF GEORGIA CHIROPRACTIC CLINIC (NPI# 1629221213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629221213 |
Entity Type | Organization |
Organization Name | LIFE OF GEORGIA CHIROPRACTIC CLINIC |
Other Organization Name | LIFE OF GEORGIA CHIROPRACTIC CLINIC, PC |
Practice Address |
1914 Central Ave Suite A Augusta GA 30904-4126 |
Practice Telephone | 7067332211 |
Practice Fax Number | 7067332271 |
Mailing Telephone | 7067332211 |
Mailing Fax Number | 7067332271 |
Enumeration Date | 2008-10-28 |
Last Update Date | 2019-09-09 |
Authorized Official Name | DR. WILLIAM O. WALKER (CHIROPRACTOR) |
Authorized Official Telephone | 7067332211 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | Chiropractic Providers | ||
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
1346 | GA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | THIRD PARTY | 1376788406 | 01 |
Other Name | Type Code |
---|---|
Life of Georgia Chiropractic Clinic, PC | Doing Business As Name - Organization |
Street Address |
1914 CENTRAL AVE SUITE A |
City | AUGUSTA |
State | GA |
Zip Code | 30904-4126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376788406 | Central Avenue Chiropractic Clinic | Clinic/Center | 1914 Central Ave, Augusta, GA 30904-4126 | 2008-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
Find all providers in zip 30904 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891003489 | United Rehab Inc | Clinic/Center | 2451 Milledgeville Road, Augusta, GA 30904 | 2010-09-17 |
1972929024 | Sundance Rehabilitation Agency, Inc | Clinic/Center | 724 Greene St, Augusta, GA 30901-2359 | 2014-03-13 |
1578870986 | United Rehab Inc. | Clinic/Center | 2122 Cumming Rd, Augusta, GA 30904-4334 | 2010-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336763150 | Esop Rehabilitation, LLC | Clinic/Center | 1699 Highway 124 N Ste 100, Snellville, GA 30078-7921 | 2020-06-08 |
1912566811 | Tattnall Hospital Company, LLC | Clinic/Center | 10200 Ford Ave Ste 105, Richmond Hill, GA 31324-8824 | 2019-06-13 |
1790289544 | Effingham Rehab Services, LLC | Clinic/Center | 105 E Bacon St, Pembroke, GA 31321 | 2018-03-19 |
1457874976 | Effingham Rehab Services, Inc | Clinic/Center | 111 Jazie Dr Ste E, Savannah, GA 31410-1908 | 2017-07-18 |
1770006272 | Effingham Rehab Services, Inc | Clinic/Center | 22 W Oglethorpe Ave, Savannah, GA 31401-3702 | 2017-07-18 |
1588187090 | Effingham Rehab Services, Inc | Clinic/Center | 475 S Main St Ste B, Hinesville, GA 31313-1365 | 2017-07-18 |
1447773908 | Effingham Rehab Services, Inc | Clinic/Center | 2709 Us Highway 17 Ste 2a, Richmond Hill, GA 31324-3795 | 2017-07-17 |
1437689288 | Dr. Peggy Marbach Vestibular Rehab Specialist, LLC | Clinic/Center | 6849 Peachtree Dunwoody Road, Building B-4, Suite #100, Sandy Springs, GA 30328-6776 | 2017-06-14 |
1699207274 | Vestibular Linc LLC | Clinic/Center | 921 Harmony Rd Ste 2, Eatonton, GA 31024-9618 | 2017-04-01 |
1346784113 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1600 Ballewtown Rd, C/o Blue Ridge Assisted Living, Blue Ridge, GA 30513-5337 | 2016-12-13 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on LIFE OF GEORGIA CHIROPRACTIC CLINIC.
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.