DR. DAVID A WREN (NPI# 1770614885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770614885 |
| Entity Type | Individual |
| Full Name | DR. DAVID A WREN |
| Credential | D.C.,C.C.S.P. |
| Practice Address |
1290 Us Highway 19 S Leesburg GA 31763-4877 |
| Mailing Address |
Po Box 695 Albany GA 31702-0695 |
| Practice Telephone | 2298830042 |
| Practice Fax Number | 2298898460 |
| Mailing Telephone | 2298830042 |
| Mailing Fax Number | 2298898460 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHIRO02673 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134182777 | David Wren Jr. | Specialist | 120 Broadway Avenue, Suite 21, Richmond, CA 94804-1938 | 2006-04-06 |
| Street Address |
1290 US HIGHWAY 19 S |
| City | LEESBURG |
| State | GA |
| Zip Code | 31763-4877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275082539 | David A Wren Dc Ccsp PC | Chiropractor | 1290 Us Highway 19 S, Leesburg, GA 31763-4877 | 2016-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150423 | Jamie Perrella Flynn-pressley | Counselor | 112 Cris Ann St., Leesburg, GA 31763 | 2015-12-07 |
| 1023429511 | Brookstone Medical LLC | Durable Medical Equipment & Medical Supplies | 123 Hugh Rd, Leesburg, GA 31763 | 2014-05-19 |
| 1124370796 | Freds Stores of Tennessee Inc | Pharmacy | 118 Robert B Lee Drive, Leesburg, GA 31763 | 2012-10-08 |
| 1255649273 | Lee County Optical LLC | Optometrist | 1569 Highway 19 South, Leesburg, GA 31763 | 2010-09-24 |
| 1851572473 | Shaun Nicholas Price | Chiropractor | 152 Robert B Lee Dr, # 31, Leesburg, GA 31763 | 2007-11-26 |
| 1710042007 | Williams & Bush Partnership | Dentist | 919 Us Hwy 19 South, Leesburg, GA 31763 | 2006-12-27 |
| 1063570398 | Lee County Board of Education | Local Education Agency (LEA) | 126 Starksville Avenue, North, Leesburg, GA 31763 | 2006-12-06 |
| 1225109929 | Lee County School System | Local Education Agency (LEA) | 126 Starksville Avenue North, Leesburg, GA 31763 | 2006-11-13 |
| 1073682936 | Adams' Loving Pro Home Health Care Inc. | Home Health | 1277 Hwy 82 West, 121, Leesburg, GA 31763 | 2006-11-07 |
| 1225132699 | Deirdre Mae Clairewen Lawson | Internal Medicine | 235 Walnut Street, Leesburg, GA 31763 | 2006-09-07 |
| Find all providers in zip 31763 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730231101 | Leanne Fink | Chiropractor | 15b Loudoun St Sw, Leesburg, VA 20175-2908 | 2007-01-17 |
| 1275082539 | David A Wren Dc Ccsp PC | Chiropractor | 1290 Us Highway 19 S, Leesburg, GA 31763-4877 | 2016-09-28 |
| 1952453342 | Richard Fink | Chiropractor | 15b Loudoun St Sw, Leesburg, VA 20175-2908 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954103 | James Killeen Jr. | Chiropractor | 3570 Old Milton Pkwy, Alpharetta, GA 30005-4464 | 2020-05-27 |
| 1366002412 | Carla Michelle Marrero-sanchez | Chiropractor | 4343 Shallowford Rd Ste H6, Marietta, GA 30062-5023 | 2019-06-19 |
| 1821564543 | Kenya Edwards | Chiropractor | 1290 Boulevard Lorraine Sw, Atlanta, GA 30311-3354 | 2018-10-20 |
| 1891297719 | Tasmin Fanning | Chiropractor | 44 Krog Street Northeast, 518, Atlanta, GA 30307-3030 | 2018-03-07 |
| 1114330362 | Advanced Family Wellness, L.L.C. | Chiropractor | 555 Sun Valley Dr Ste A3, Roswell, GA 30076-5606 | 2014-06-05 |
| 1518381938 | Sports Performance Concepts, LLC | Chiropractor | 9810b Medlock Bridge Rd, Suite 104, Johns Creek, GA 30097-2011 | 2014-02-05 |
| 1720424310 | Georgia Gwinnett Clinic | Chiropractor | 2856 Buford Highway, Suite 7, Duluth, GA 30096 | 2013-05-22 |
| 1023381704 | Jinjiang Li | Chiropractor | 4018 Nine Mcfarland Dr, Alpharetta, GA 30004-3384 | 2012-02-11 |
| 1336434109 | Byung Yull Kim | Chiropractor | 2856 Buford Hwy, Suite 7, Duluth, GA 30096-3400 | 2011-06-09 |
| 1760775852 | Zoila Rosa Stewart | Chiropractor | 1374 Pair St Se, Marietta, GA 30008-3807 | 2011-05-23 |
| 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.