Dynamic Spine and Sports Therapy
NPI 1659629723ActiveOrganization· Chiropractor· Kennesaw, GA
Chiropractor in Kennesaw, Georgia, registered in NPPES in August 2012. The authorized official on file is Jered Michael Hull, CHIROPRACTIC, Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659629723 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 21, 2012 |
| Last updated in NPPES | Aug 21, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 055355792 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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