RENOVATION CHIROPRACTIC, INC.
NPI 1184048092
Chiropractor in Warner Robins, GA

Active since February 12, 2014
3035 WATSON BLVD, SUITE 5, WARNER ROBINS, GA 31093(770) 982-4886(770) 979-2275 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Renovation Chiropractic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENOVATION CHIROPRACTIC, INC. (NPI 1184048092) is a healthcare organization registered as a chiropractor in Warner Robins, Georgia and active in the NPI registry since February 2014. The organization lists John Jeremy Pettygrove, Provider/president, as its authorized official.

NPPES Registry Identity

NPI1184048092
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameRENOVATION CHIROPRACTIC, INC.
Location Address3035 WATSON BLVD, SUITE 5Warner Robins, GA 31093-9526
Mailing Address3035 Watson Blvd, Suite 5Warner Robins, GA 31093-9526 · (770) 982-4886 · Fax (770) 979-2275
Fax(770) 979-2275
Organization SubpartNo
Authorized OfficialJohn Jeremy PettygroveProvider/president · (478) 334-7958
Enumeration DateFebruary 12, 2014
Last NPPES UpdateMay 5, 2014
✔ NPI 1184048092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIRO009223
Definition
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.
3035 WATSON BLVD, Warner Robins, GA 31093

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renovation Chiropractic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Renovation Chiropractic, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1851715767
3035 WATSON BLVD SUITE 5
Warner Robins, GA 31093
(770) 982-4886
✔ Accepts MedicareSame address
Chiropractic
NPI 1508570839
2169 INGLESIDE AVE
Macon, GA 31204
(478) 474-2344
✔ Accepts Medicare17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Renovation Chiropractic, Inc.'s NPI number?

The NPI number for Renovation Chiropractic, Inc. is 1184048092. It was assigned to this organization in the NPPES registry on February 12, 2014.

Where is Renovation Chiropractic, Inc. located?

Renovation Chiropractic, Inc. is located at 3035 Watson Blvd Suite 5, Warner Robins, GA 31093. The listed phone number is (770) 982-4886.

What is Renovation Chiropractic, Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Renovation Chiropractic, Inc. enrolled in Medicare?

Yes. Renovation Chiropractic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renovation Chiropractic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Renovation Chiropractic, Inc.. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Renovation Chiropractic, Inc. was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.