Individual provider Active NPI

Pranav Halvawala, D.C.

  • Chiropractor
  • Flowery Branch, GA
National Provider Identifier
1003219437
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009775 Issued in GA
Practice address
7380 Spout Springs Rd Ste 140
Flowery Branch, GA 30542-7535
Phone
(770) 954-7244
Fax
(470) 822-1520
NPI assigned
Sep 30, 2014
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009775 GA Primary

Addresses

Primary practice location

7380 Spout Springs Rd Ste 140
Flowery Branch, GA 30542-7535

Mailing address

2679 Bridle Ridge Way
Buford, GA 30519-7676
Phone (312) 772-6282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260324003076 GA Practitioner - Chiropractic 8527387463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7380 Spout Springs Rd
Suite 140
Flowery Branch, GA 30542-7535
Phone (770) 954-7244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009775GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New Chiropractic Chiropractor CurrentSince Oct 21, 2025 Accepting new patients

Locations

7380 Spout Springs Rd
Ste 140
Flowery Branch, GA 30542
Phone (770) 954-7244

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1003219437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2679 BRIDLE RIDGE WAY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197676",
            "telephone_number": "312-772-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 SPOUT SPRINGS RD STE 140",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305427535",
            "telephone_number": "770-954-7244",
            "fax_number": "470-822-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVAWALA",
        "first_name": "PRANAV",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-30",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowery Branch, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.