Pine Mountain Chiropractic Center, LLC
Pine Mountain Chiropractic Center, LLC is a healthcare organization registered as Health Service Clinic/Center in Pine Mountain, GA, holding Type 2 (organization) NPI 1023201217 since 2007. The authorized official on file is Kim Russell, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023201217 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pine Mountain Chiropractic Center, LLC |
| Practice address | 624 N MAIN AVE, Pine Mountain, GA, 31822 |
| Phone | 7066638801 |
| Enumeration date | 2007-08-22 |
| Last updated in NPPES | 2007-08-22 |
Authorized official
| Name | Kim Russell |
|---|---|
| Title | Office Manager |
| Phone | 7066638801 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QH0100X | Health Service Clinic/Center | Primary | 2301000RN | GA |
Copy-ready billing details
Provider: Pine Mountain Chiropractic Center, LLC NPI: 1023201217 Taxonomy: 261QH0100X (Health Service Clinic/Center) Address: 624 N MAIN AVE, Pine Mountain, GA, 31822
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1427122951 | Jeffery Russell | Individual | Chiropractor | Pine Mountain, GA |
Verify this record
Cross-check NPI 1023201217 against the authoritative CMS record: view Pine Mountain Chiropractic Center, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Pine Mountain Chiropractic Center, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-08-22.