Organization Active NPI

Chiropractic Pain Relief Center

  • Chiropractor
  • Jonesboro, GA
National Provider Identifier
1023295508
Registry record updated Jan 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006745 Issued in GA
Legal business name
CHIROPRACTIC PAIN RELIEF CENTER
Practice address
9434 S Main St
Suite 1100
Jonesboro, GA 30236-8711
Phone
(770) 478-1300
Fax
(770) 478-9385
NPI assigned
Jan 27, 2008
Last updated
Jan 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2008

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

Authorized official

Name
Genia Carol Fraser Sword, DC
Title
Owner
Phone
(770) 478-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006745 GA Primary

Addresses

Primary practice location

9434 S Main St
Suite 1100
Jonesboro, GA 30236-8711

Mailing address

9434 S Main St
Suite 1100
Jonesboro, GA 30236-8711
Phone (770) 478-1300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201392000000",
    "number": "1023295508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9434 S MAIN ST",
            "address_2": "SUITE 1100",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302368711",
            "telephone_number": "770-478-1300",
            "fax_number": "770-478-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9434 S MAIN ST",
            "address_2": "SUITE 1100",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302368711",
            "telephone_number": "770-478-1300",
            "fax_number": "770-478-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC PAIN RELIEF CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-27",
        "last_updated": "2008-01-27",
        "status": "A",
        "authorized_official_last_name": "FRASER SWORD",
        "authorized_official_first_name": "GENIA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-478-1300",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2008; 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.