DR. RANDALL JAMES DISHAW D.C. NPI 1023148061

NPI Information

  • NPI: 1023148061
  • Provider Name: DR. RANDALL JAMES DISHAW, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 270 HAWTHORNE AVE
    ATHENS, GA
    ZIP 30606
  • Phone: (706) 353-7779

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NPI Details

DR. Randall James Dishaw, D.C. is a chiropractor in Athens, GA with 44 years of experience. The provider is 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. DR. Randall James Dishaw, D.C. NPI is 1023148061. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE
Graduation Year:1982

The provider's business location address is:

270 HAWTHORNE AVE
ATHENS, GA
ZIP 30606-881
Phone: (706) 353-7779

The enumeration date for this NPI number is 3/7/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor1986GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U22265MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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