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PURE CHIROPRACTIC MILLEDGEVILLE LLC
NPI 1700146883
Chiropractor in Milledgeville, GA

Active since May 22, 2012
130 LOG CABIN RD NE, SUITE B, MILLEDGEVILLE, GA 31061(478) 457-0003(478) 457-0053 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pure Chiropractic Milledgeville Llc NPPES

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

PURE CHIROPRACTIC MILLEDGEVILLE LLC (NPI 1700146883) is a healthcare organization registered as a chiropractor in Milledgeville, Georgia and active in the NPI registry since May 2012. The organization lists Theodore Gerald Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1700146883
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePURE CHIROPRACTIC MILLEDGEVILLE LLC
Location Address130 LOG CABIN RD NE, SUITE BMilledgeville, GA 31061-0917
Mailing Address130 Log Cabin Rd Ne, Suite BMilledgeville, GA 31061-0917 · (478) 457-0003 · Fax (478) 457-0053
Phone(478) 457-0003
Fax(478) 457-0053
Organization SubpartNo
Authorized OfficialTheodore Gerald SmithOwner · (478) 457-0003
Enumeration DateMay 22, 2012
Last NPPES UpdateJuly 2, 2012
✔ NPI 1700146883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
130 LOG CABIN RD NE, Milledgeville, GA 31061
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pure Chiropractic Milledgeville Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pure Chiropractic Milledgeville LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Theodore Smith, D.C.
Chiropractic
NPI 1265544340
639 OLD PHOENIX RD
Eatonton, GA 31024
(706) 485-1010
18 mi
Michael Evans, DC
Chiropractic
NPI 1710496138
112 HARMONY XING STE 1
Eatonton, GA 31024
(706) 991-5348
19 mi
Eric Gregory, DC
Chiropractic
NPI 1215864053
121 HARMONY XING STE 6
Eatonton, GA 31024
(706) 485-1010
19 mi
Hannah Gomolak, DC
Chiropractic
NPI 1750107256
3510 S NOVA RD STE 111
Port Orange, FL 32129
(386) 947-7185
307 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 Pure Chiropractic Milledgeville LLC's NPI number?

The NPI number for Pure Chiropractic Milledgeville LLC is 1700146883. It was assigned to this organization in the NPPES registry on May 22, 2012.

Where is Pure Chiropractic Milledgeville LLC located?

Pure Chiropractic Milledgeville LLC is located at 130 Log Cabin Rd NE Suite B, Milledgeville, GA 31061. The listed phone number is (478) 457-0003.

What is Pure Chiropractic Milledgeville LLC's specialty?

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

Is Pure Chiropractic Milledgeville LLC enrolled in Medicare?

Yes. Pure Chiropractic Milledgeville LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pure Chiropractic Milledgeville LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Pure Chiropractic Milledgeville LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pure Chiropractic Milledgeville LLC was last updated on July 2, 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.