NPIMap

Organization Active NPI

Paige M Black DC, LLP

  • Chiropractor
  • Lilburn, GA
National Provider Identifier
1003125907
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008448 Issued in GA
Legal business name
PAIGE M BLACK DC, LLP
Practice address
1066 Killian Hill Rd SW
Suite 103
Lilburn, GA 30047-2306
Phone
(770) 921-2830
Fax
(770) 921-2836
NPI assigned
Sep 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paige M Black, DCNPI 1790017457
Title
Chiropractor
Phone
(678) 266-2582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR008448 GA Primary

Addresses

Primary practice location

1066 Killian Hill Rd SW
Suite 103
Lilburn, GA 30047-2306

Mailing address

210 Buck Branch Dr
Dahlonega, GA 30533-4113

National Provider Directory

National Provider Directory

Locations

1066 Killian Hill Rd SW
Ste 103
Lilburn, GA 30047
Phone (770) 921-2830

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1003125907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BUCK BRANCH DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305334113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 KILLIAN HILL RD SW",
            "address_2": "SUITE 103",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472306",
            "telephone_number": "770-921-2830",
            "fax_number": "770-921-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIGE M BLACK DC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "678-266-2582",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.