Fish Family Chiropractic

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

CHIRO02079 Issued in GA

Legal business name

FISH FAMILY CHIROPRACTIC

Practice address

455 W. Crossville Road
Roswell, GA 30075

Phone

(770) 518-7700

Fax

(770) 518-1030

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary P Fish, DCNPI 1003893231

Title

Owner

Phone

(770) 518-7700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 3

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

• Gary P Fish, DC

  • Chiropractor
  • Roswell, GA
  • NPI 1003893231
  Medicare reassignment NPD Authorized official
• Jack Boyles, D C

  • Chiropractor
  • Roswell, GA
  • NPI 1023300704
  NPD (past)
• Carolyn Fish, D.C.

  • Chiropractor
  • Roswell, GA
  • NPI 1528240991
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1013033703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W. CROSSVILLE ROAD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30075",
            "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 ROAD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30075",
            "telephone_number": "770-518-7700",
            "fax_number": "770-518-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISH FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-518-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "GA",
            "license": "CHIRO02079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Grace Filosi, MS OTR/L
• Eli A. Finkelstein, M.D.
• Kaylee Finlay, MS
• Louise Finley, LPC
• James Finot, DMD
• Carolyn Fish, D.C.
• Gary P Fish, DC
• Karinne Fish, PT
• Fisher Chiropractic LLC
• Jennifer Leigh Fisher, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.