OrganizationActive
Pine Mountain Chiropractic Center, LLC
NPI 1023201217 · Health Service Clinic/Center · Pine Mountain, GA
Provider details
- NPI number
- 1023201217
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kim Russell, Office Manager(706) 663-8801
- License
- 2301000RN (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
624 N Main Ave
Pine Mountain, GA 31822-2403
Phone: (706) 663-8801
Approximate (ZIP-level) locationGet directions
Mailing address
624 N Main Ave
Pine Mountain, GA 31822-2403
Registry dates
- Enumerated
- 2007-08-22
- Last updated
- 2007-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.