Organization Active NPI

Paulk Chiropractic-McDonough Inc.

  • Chiropractor
  • Stockbridge, GA
National Provider Identifier
1023152949
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
GA001074 Issued in GA
Legal business name
PAULK CHIROPRACTIC-MCDONOUGH INC.
Practice address
9905 N Davidson Pkwy
Suite 107
Stockbridge, GA 30281-4200
Phone
(770) 474-1421
Fax
(770) 474-1421
NPI assigned
Feb 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George P Paulk, D.C.NPI 1699870238
Title
Owner
Phone
(678) 583-2982

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
Chiropractor 111N00000X GA001074 GA Primary

Addresses

Primary practice location

9905 N Davidson Pkwy
Suite 107
Stockbridge, GA 30281-4200

Mailing address

416 Highway 155 S
McDonough, GA 30253-6623
Phone (678) 583-2982

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023152949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 HIGHWAY 155 S",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536623",
            "telephone_number": "678-583-2982",
            "fax_number": "678-583-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 N DAVIDSON PKWY",
            "address_2": "SUITE 107",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814200",
            "telephone_number": "770-474-1421",
            "fax_number": "770-474-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULK CHIROPRACTIC-MCDONOUGH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAULK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-583-2982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "GA001074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.