Crossroads Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2968 Issued in GA

Legal business name

CROSSROADS CHIROPRACTIC

Practice address

5391 Highway 53
Suite 108
Braselton, GA 30517-3135

Phone

(706) 654-2400

Fax

(706) 654-2399

NPI assigned

Feb 14, 2012

Last updated

Nov 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randy Lee McSkulin, D.C.NPI 1619048915

Title

Owner/Doctor

Phone

(706) 654-2400

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randy Lee McSkulin, DC

  • Chiropractor
  • Hoschton, GA
  • NPI 1619048915
  Authorized official Same address or phone
• Vista A Parisoe-McSkulin, PH.D.

  • Psychologist
  • Celebration, FL
  • NPI 1679122048
  NPD

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1013280619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5391 HIGHWAY 53",
            "address_2": "SUITE 108",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305173135",
            "telephone_number": "706-654-2400",
            "fax_number": "706-654-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5391 HIGHWAY 53",
            "address_2": "SUITE 108",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305173135",
            "telephone_number": "706-654-2400",
            "fax_number": "706-654-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "MCSKULIN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "706-654-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisol Paz Coughlin, FNP-C
• Courtney Glenn DPM LLC
• Emily Crampton, LAT, ATC
• Hasco William Craver III, D.O.
• Lya Crichlow, MD
• Crossroads Spine & Wellness,LLC
• Crossroads Spine and Wellness
• Wesam Daker, PA-C
• Gary M Dalley, M.D.
• Zachary Daniell, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.