ENVISION A CHIROPRACTIC HEALING, LLC
NPI 1104269877
Clinic/Center - Health Service in East Ellijay, GA

NPI Status: Active since April 12, 2013

Contact Information

572 MADDOX DR
STE 205
EAST ELLIJAY, GA
ZIP 30540
Phone: (706) 697-7463

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  • Organization
  • Clinic/Center
  • Health Service

About ENVISION A CHIROPRACTIC HEALING, LLC

This page provides the complete NPI Profile along with additional information for Envision A Chiropractic Healing, Llc, a provider established in East Ellijay, Georgia operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1104269877 assigned on April 2013. The practitioner's primary taxonomy code is 261QH0100X with license number CHIR002792 (GA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Debrah K Swanberg-grossman Dc (Owner/director)

NPI
1104269877
Provider Name
ENVISION A CHIROPRACTIC HEALING, LLC
Entity Type
Organization
Location Address
572 MADDOX DR STE 205 EAST ELLIJAY, GA 30540
Location Phone
(706) 697-7463
Mailing Address
572 MADDOX DR STE 205 EAST ELLIJAY, GA 30540
Mailing Phone
(706) 697-7463
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-12-2013
Last Update Date
04-12-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
CHIR002792
License State
GA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DEBRAH K SWANBERG-GROSSMAN DC

Authorized Official Title
OWNER/DIRECTOR
Authorized Official Phone
(706) 697-7463

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
35ZCBFSMEDICARE OSCAR/CERTIFICATION (06) 
CHIR002792OTHER (01)GASTATE LICENSE
U01224MEDICARE UPIN (02) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104269877
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21044618814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 4 + 6 + 1 + 8 + 8 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1104269877 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134363872LTC SCRIPTSRX LLC
Organization
Pharmacy (Long Term Care Pharmacy)572 MADDOX DR
ELLIJAY, GA 30540
(706) 635-7931

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104269877, enumerated in the NPI registry as an "organization" on April 12, 2013

The provider is located at 572 Maddox Dr Ste 205 East Ellijay, Ga 30540 and the phone number is (706) 697-7463

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 12, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.