ISLAND CHIROPRACTIC & WELLNESS CTR NPI 1962448852

NPI Information

  • NPI: 1962448852
  • Provider Name: ISLAND CHIROPRACTIC & WELLNESS CTR
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 132 RETREAT PLAZA
    STE B
    ST SIMONS ISLAND, GA
    ZIP 31522
  • Phone: (912) 634-2245

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NPI Details

ISLAND CHIROPRACTIC & WELLNESS CTR is a chiropractor in St Simons Island, GA. 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. ISLAND CHIROPRACTIC & WELLNESS CTR NPI is 1962448852. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

132 RETREAT PLAZA
STE B
ST SIMONS ISLAND, GA
ZIP 31522
Phone: (912) 634-2245
Fax: (912) 634-8780

The provider's authorized official is Howard A Berg .
The authorized official title is Owner Doctor Of Chiropractic Medici and has the following contact phone number (912) 634-2245.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 9/15/2010.

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
1111N00000XChiropractor5872GEORGIAYes

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
1U70774MEDICARE UPIN
235ZCGSTMEDICARE ID-TYPE UNSPECIFIEDGEORGIA

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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