Michael P Grego, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO02886 Issued in GA

Practice address

2170 W Point Rd
Ste 5
Lagrange, GA 30240-4007

Phone

(706) 616-6775

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1023168390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 W POINT RD",
            "address_2": "STE 5",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404007",
            "telephone_number": "706-616-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 W POINT RD",
            "address_2": "STE 5",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404007",
            "telephone_number": "706-616-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGO",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO02886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE LICENSE",
            "identifier": "CHIR002886",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "27-2178870",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5248447 001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Gravel, NP-C
• Green Acres Care Center LLC (Twin Fountains)
• Jeanne Green, PT
• Margaret Mallory Green
• Torionna Colton Green, LPC
• Michael Griffeth, PHARMD
• Terri Angela Griffin Jones, BS
• Andrea Griffin, LPC
• Kamenia White Griffin, LAPC
• Kelly L Grigsby, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.