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WILLACOOCHEE CHIROPRACTIC CLINIC
NPI 1649443417
Chiropractor in Willacoochee, GA

Active since April 11, 2008
1161 HIGHWAY 135 S, SUITE 1, WILLACOOCHEE, GA 31650(912) 381-0064 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Willacoochee Chiropractic Clinic NPPES

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

WILLACOOCHEE CHIROPRACTIC CLINIC (NPI 1649443417) is a healthcare organization registered as a chiropractor in Willacoochee, Georgia and active in the NPI registry since April 2008. The organization lists Penny T. Jackson, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1649443417
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWILLACOOCHEE CHIROPRACTIC CLINIC
Location Address1161 HIGHWAY 135 S, SUITE 1Willacoochee, GA 31650-7747
Mailing AddressPo Box 1100Willacoochee, GA 31650-1100
Phone(912) 381-0064
Organization SubpartNo
Authorized OfficialPenny T. JacksonChiropractor · (912) 381-0064
Enumeration DateApril 11, 2008
✔ NPI 1649443417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR008305
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.
1161 HIGHWAY 135 S, Willacoochee, GA 31650
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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

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Willacoochee Pharmacy carries, from the Medicare DMEPOS supplier directory.

Willacoochee Pharmacy

DMEPOS supplier · Willacoochee, GAOperated by Sls Pharmacy Inc
⋮

Does not accept Medicare assignment

Willacoochee Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20577185
Medicare Participant SinceSeptember 28, 2005
Supplier Location561 Main St EWillacoochee, GA 31650
Phone(912) 534-5195
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

DR. PENNY TRONELL JACKSON D.C.
Chiropractor
1161 HIGHWAY 135 S, SUITE 1
WILLACOOCHEE, GA 31650
Atkinson County (912) 381-0064

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 Willacoochee Chiropractic Clinic's NPI number?

The NPI number for Willacoochee Chiropractic Clinic is 1649443417. It was assigned to this organization in the NPPES registry on April 11, 2008.

Where is Willacoochee Chiropractic Clinic located?

Willacoochee Chiropractic Clinic is located at 1161 Highway 135 S Suite 1, Willacoochee, GA 31650. The listed phone number is (912) 381-0064.

What is Willacoochee Chiropractic Clinic's specialty?

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

Does Willacoochee Chiropractic Clinic accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Willacoochee Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Willacoochee Chiropractic Clinic was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.