Waggener Chiropractic and Wellness Center LLC
NPI 1114414620ActiveOrganization· Chiropractor· Springfield, IL
Chiropractor in Springfield, Illinois, registered in NPPES in April 2018. The authorized official on file is Samantha Ariel Mayberry, DC, Owner/Chiropractor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114414620 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2018 |
| Last updated in NPPES | May 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 038012923 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
Other Chiropractor providers in Springfield
- 1205256823
- 1548290521
- 1497072904
- 1689834004
- 1306811336
- 1730725425
- 1891442596
- 1902106859
- 1578767984
- 1831649599
- 1689826828
- 1134637382