SOUTHEASTERN CHIROPRACTIC
NPI 1245533157
Chiropractor in Waycross, GA

Active since December 15, 2010
1705 BOULEVARD SQ, SUITE C, WAYCROSS, GA 31501(912) 283-3066(912) 283-3067 Get Directions Write a Review

NPPES record last updated: December 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Chiropractic NPPES

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

SOUTHEASTERN CHIROPRACTIC (NPI 1245533157) is a healthcare organization registered as a chiropractor in Waycross, Georgia and active in the NPI registry since December 2010. The organization lists Kelly M Gilbert, Chiropractic/owner, as its authorized official.

NPPES Registry Identity

NPI1245533157
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHEASTERN CHIROPRACTIC
Location Address1705 BOULEVARD SQ, SUITE CWaycross, GA 31501-8031
Mailing Address1705 Boulevard Sq, Suite CWaycross, GA 31501-8031 · (912) 283-3066 · Fax (912) 283-3067
Fax(912) 283-3067
Organization SubpartNo
Authorized OfficialKelly M GilbertChiropractic/owner · (912) 283-3066
Enumeration DateDecember 15, 2010
NPI 1245533157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in GA · CHIR008677
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.
1705 BOULEVARD SQ, Waycross, GA 31501

Other Identifiers 1

Other1093027435GA · Tax Id

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1705 BOULEVARD SQ, SUITE A
WAYCROSS, GA 31501

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 Southeastern Chiropractic's NPI number?

The NPI number for Southeastern Chiropractic is 1245533157. It was assigned to this organization in the NPPES registry on December 15, 2010.

Where is Southeastern Chiropractic located?

Southeastern Chiropractic is located at 1705 Boulevard Sq Suite C, Waycross, GA 31501. The listed phone number is (912) 283-3066.

What is Southeastern Chiropractic's specialty?

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

When was this NPI record last updated?

The NPPES record for Southeastern Chiropractic was last updated on December 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.