Gary P Fish, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO 002079 Issued in GA

Practice address

455 W Crossville Rd
Roswell, GA 30075-2503

Phone

(770) 518-7700

Fax

(770) 518-1030

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Fish Family Chiropractic

  • Radiology Chiropractor
  • Roswell, GA
  • NPI 1013033703
  Medicare reassignment NPD Authorized official
• Carga Inc.

  • Orthopedic Chiropractor
  • Roswell, GA
  • NPI 1295164010
  NPD (past) Authorized official

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1003893231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W CROSSVILLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752503",
            "telephone_number": "770-518-7700",
            "fax_number": "770-518-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W CROSSVILLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752503",
            "telephone_number": "770-518-7700",
            "fax_number": "770-518-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "GARY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO 002079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Finlay, MS
• Louise Finley, LPC
• James Finot, DMD
• Fish Family Chiropractic
• Carolyn Fish, D.C.
• Karinne Fish, PT
• Fisher Chiropractic LLC
• Jennifer Leigh Fisher, D.C.
• Toree Fisher, RBT
• Fitmed Wellness, LLC

• Chiropractor in Roswell, GA
• Providers in Roswell, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.