DR. EDMOND EARL HATTAWAY D.C.
NPI 1386714319
Chiropractor in Douglasville, GA

Q: What is Edmond Hattaway's NPI number?

The NPI number for Edmond Hattaway is 1386714319. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is Edmond Hattaway's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edmond Hattaway was last updated on June 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 08, 2006

2080 FAIRBURN ROAD, SUITE F, DOUGLASVILLE, GA 30135(770) 489-0187(770) 920-0364 Get Directions Write a Review

NPPES record last updated: June 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Edmond Earl Hattaway D.c. NPPES

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

DR. EDMOND EARL HATTAWAY D.C. (NPI 1386714319) is an individual chiropractor in Douglasville, Georgia, licensed in Georgia (CHIR002812) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1386714319

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. EDMOND EARL HATTAWAYCredential: D.C.

Location Address2080 FAIRBURN ROAD, SUITE FDouglasville, GA 30135-1064

Mailing AddressPo Box 1171Douglasville, GA 30133-1171 · (770) 489-0187 · Fax (770) 920-0364

Phone(770) 489-0187

Fax(770) 920-0364

Sole ProprietorNo

Enumeration DateNovember 8, 2006

Last NPPES UpdateJune 7, 2012

✔ NPI 1386714319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in GA · CHIR002812

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.

2080 FAIRBURN ROAD, Douglasville, GA 30135

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Other Identifiers 3

Medicare ID-Type Unspecified35ZCBWKGA

Medicaid55001148AGA

Medicare UPIN581925873GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Edmond Hattaway's NPI number?

The NPI number for Edmond Hattaway is 1386714319. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Edmond Hattaway located?

Edmond Hattaway practices at 2080 Fairburn Road Suite F, Douglasville, GA 30135. The listed phone number is (770) 489-0187.

What is Edmond Hattaway's specialty?

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

What insurance does Edmond Hattaway accept?

Health plans from Providence Health Plan list Edmond Hattaway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edmond Hattaway was last updated on June 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.