1. Home
  2. Directory
  3. Georgia
  4. Oakwood
  5. Chiropractor
  6. NPI Profile

NORTHEAST GA CHIROPRACTIC CLINIC
NPI 1942428057
Chiropractor in Oakwood, GA

Active since April 23, 2007
4211 MUNDY MILL PL, SUITE B, OAKWOOD, GA 30566(770) 534-8614(770) 534-8169 Get Directions Write a Review

NPPES record last updated: March 3, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Northeast Ga Chiropractic Clinic NPPES

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

NORTHEAST GA CHIROPRACTIC CLINIC (NPI 1942428057) is a healthcare organization registered as a chiropractor in Oakwood, Georgia and active in the NPI registry since April 2007. The organization lists Joseph Stephen Bennett, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1942428057
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJ. STEPHEN BENNETT JR.
Location Address4211 MUNDY MILL PL, SUITE BOakwood, GA 30566-2540
Mailing Address4211 Mundy Mill Pl, Suite BOakwood, GA 30566-2540 · (770) 534-8614 · Fax (770) 534-8169
Phone(770) 534-8614
Fax(770) 534-8169
Organization SubpartNo
Authorized OfficialJoseph Stephen BennettSole Proprietor · (770) 534-8614
Enumeration DateApril 23, 2007
Last NPPES UpdateMarch 3, 2011
✔ NPI 1942428057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · 2278
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.
4211 MUNDY MILL PL, Oakwood, GA 30566
Open in Google Maps ↗

Other Names 1

Other NameNortheast Ga Chiropractic Clinic

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)

Northeast Ga Chiropractic Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northeast Ga Chiropractic Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

J Stephen Bennett, D.C.
Chiropractic
NPI 1235185117
4211 MUNDY MILL PL SUITE B
Oakwood, GA 30566
(770) 534-8614
Same address

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 J. Stephen Bennett Jr.'s NPI number?

The NPI number for J. Stephen Bennett Jr. is 1942428057. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is also known as Northeast Ga Chiropractic Clinic.

Where is J. Stephen Bennett Jr. located?

J. Stephen Bennett Jr. is located at 4211 Mundy Mill Pl Suite B, Oakwood, GA 30566. The listed phone number is (770) 534-8614.

What is J. Stephen Bennett Jr.'s specialty?

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

Is J. Stephen Bennett Jr. enrolled in Medicare?

Yes. J. Stephen Bennett Jr. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through J. Stephen Bennett Jr.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to J. Stephen Bennett Jr.. 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 J. Stephen Bennett Jr. was last updated on March 3, 2011. 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.