Southside Family Chiropractic LLC
NPI 1548645062ActiveOrganization· Chiropractor· Newnan, GA
Chiropractor in Newnan, Georgia, registered in NPPES in July 2015. The authorized official on file is Tatum Johnston, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548645062 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2015 |
| Last updated in NPPES | Oct 14, 2022 |
| Certified by provider | Oct 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
| Chiropractor | 111N00000X | CHIR008893 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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