GUWOIN INGRAM JR JR.
NPI 1063235679
Chiropractor in Canton, GA
About Guwoin Ingram Jr Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUWOIN INGRAM JR JR. (NPI 1063235679) is an individual chiropractor in Canton, Georgia, licensed in Georgia (CHIR011110) and active in the NPI registry since November 2024.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Guwoin Ingram Jr Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Guwoin Ingram Jr reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Holly Springs, GA 30115
- Reassigned Medicare billing, Georgia enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOLLY SPRINGS, GA 30115
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Guwoin Ingram Jr's NPI number?
The NPI number for Guwoin Ingram Jr is 1063235679. It was assigned to this individual provider in the NPPES registry on November 2, 2024.
Where is Guwoin Ingram Jr located?
Guwoin Ingram Jr practices at 2210 Holly Springs Pkwy Ste 100, Canton, GA 30115. The listed phone number is (770) 562-5446.
What is Guwoin Ingram Jr's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Guwoin Ingram Jr enrolled in Medicare?
Yes. Guwoin Ingram Jr is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Guwoin Ingram Jr's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Guwoin Ingram Jr reassigns Medicare benefits to Dotson Stevens Enterprises, Inc. (Holly Springs, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Guwoin Ingram Jr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Guwoin Ingram Jr was last updated on November 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Guwoin Ingram Jr Jr. · NPI 1063235679
Chiropractor provider in Canton, Georgia. Individual provider, active in the CMS NPPES registry since November 2, 2024.
## Identity
- **NPI:** 1063235679 (Entity type: Individual)
- **Enumerated:** November 2, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CHIR011110 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2210 HOLLY SPRINGS PKWY STE 100, Canton, GA 30115-9013
- **Phone:** (770) 562-5446
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Dotson Stevens Enterprises, Inc. (NPI 1922822881, Holly Springs, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063235679) · Data from the CMS NPPES public registry.