KYLE JOHNSTON (NPI# 1235751371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235751371 |
Entity Type | Individual |
Full Name | KYLE JOHNSTON |
Credential | DC |
Practice Address |
676 Mullins Colony Dr Evans GA 30809-0579 |
Mailing Address |
534 Walden Glen Ln Evans GA 30809-3137 |
Practice Telephone | 7062108550 |
Mailing Telephone | 7404757470 |
Enumeration Date | 2020-05-12 |
Last Update Date | 2020-05-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHIR010386 | GA | Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
1326420118 | Kyle John Johnston | Student in an Organized Health Care Education/Training Program | 17927 Camino Grande, San Antonio, TX 78257-5007 | 2015-06-29 |
1801283460 | Kyle Johnston | Specialist/Technologist | 2770 S Floyd St, Louisville, KY 40292-0001 | 2015-04-22 |
1245842244 | Kyle Johnston | Physical Therapist | 885 Point Brown Ave Nw, Ocean Shores, WA 98569-9682 | 2020-08-20 |
1134348535 | Kyle Matthew Johnston | Physician Assistant | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2007-04-24 |
Street Address |
676 MULLINS COLONY DR |
City | EVANS |
State | GA |
Zip Code | 30809-0579 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053454819 | Eric John Larson | Chiropractor | 676 Mullins Colony Dr, Evans, GA 30809-0579 | 2007-02-14 |
1598302267 | Alexandra Marie Maas | Chiropractor | 676 Mullins Colony Dr, Evans, GA 30809-0579 | 2019-12-02 |
1073706511 | Larson Chiropractic,pc | Point of Service | 676 Mullins Colony Dr, Evans, GA 30809-0579 | 2007-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
Find all providers in zip 30809 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962967034 | Rising Chiropractic LLC | Chiropractor | 625 Ponder Place Dr Ste 2, Evans, GA 30809-3342 | 2019-02-04 |
1376783795 | Jason Allen Rueggeberg | Chiropractor | 807 Oakhurst Dr Ste A, Evans, GA 30809-3713 | 2009-02-25 |
1356599872 | William M. Rice, D.c., P.C. | Chiropractor | 108 Srp Dr, Suite A, Evans, GA 30809-3319 | 2008-09-09 |
1528287505 | Patsy Williams-lowe | Chiropractor | 816 40th St, Evans, CO 80620-2904 | 2007-04-25 |
1053454819 | Eric John Larson | Chiropractor | 676 Mullins Colony Dr, Evans, GA 30809-0579 | 2007-02-14 |
1467505453 | William Michael Rice | Chiropractor | 108 Srp Drive, Suite A, Evans, GA 30809-3319 | 2007-01-21 |
1598302267 | Alexandra Marie Maas | Chiropractor | 676 Mullins Colony Dr, Evans, GA 30809-0579 | 2019-12-02 |
1326503491 | Bethany Druckenmiller | Chiropractor | 625 Ponder Place Dr Ste 2, Evans, GA 30809-3342 | 2019-02-04 |
1649790908 | Libby Goode-grasmick | Chiropractor | 2930 11th Ave, Evans, CO 80620-1011 | 2017-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386245249 | Aaron D Young | Chiropractor | 860 Baltimore Pl Sw, Marietta, GA 30064-3959 | 2020-11-05 |
1831790435 | Li Ma | Chiropractor | 376 Powder Springs St Ste 141, Marietta, GA 30064-3460 | 2020-11-02 |
1124627260 | Jordan Louis Mallamace | Chiropractor | 6110 Mcfarland Station Dr Unit 400, Alpharetta, GA 30004-6806 | 2020-10-20 |
1043818693 | 100 Percent Chiropractic Gibson LLC | Chiropractor | 11 Charley Harper Dr Ste 140, Cartersville, GA 30120-0027 | 2020-10-15 |
1376140616 | Springfield Chiropractic LLC | Chiropractor | 505 N Laurel St, Springfield, GA 31329-6815 | 2020-10-08 |
1871190363 | Rebel Medical Group LLC | Chiropractor | 2920 Marietta Hwy Ste 102, Canton, GA 30114-8207 | 2020-10-07 |
1285231902 | Austin Fortner | Chiropractor | 485 Pooler Pkwy, Pooler, GA 31322-5102 | 2020-10-06 |
1073129441 | Ian Michael Koll | Chiropractor | 6100 Lake Forrest Dr Ste 320, Atlanta, GA 30328-3835 | 2020-09-21 |
1558977397 | Kristin Best | Chiropractor | 1189 Ashborough Dr Se Apt A, Marietta, GA 30067-6918 | 2020-09-17 |
1952915357 | Shaun Olsen | Chiropractor | 600 Houze Way Ste E1, Roswell, GA 30076-1434 | 2020-09-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.