NPIMap

Organization Active NPI

Georgia Chiropractic and Massage, PC

  • Chiropractor
  • Holly Springs, GA
National Provider Identifier
1023764172
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GEORGIA CHIROPRACTIC AND MASSAGE, PC
Practice address
120 Hickory Rd
Holly Springs, GA 30115-9600
Phone
(678) 880-6616
Fax
(678) 880-6617
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Dr. Oliver R Evans II, DCNPI 1861941429
Title
Ceo
Phone
(770) 355-0346

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

120 Hickory Rd
Holly Springs, GA 30115-9600

Mailing address

120 Hickory Rd
Holly Springs, GA 30115-9600
Phone (678) 880-6616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220613001167 GA Part B Supplier - Clinic/Group Practice 7810375383 Receives reassigned benefits from 13 practitioners
Practice locations: Holly Springs, GA; Jasper, GA; Kennesaw, GA

National Provider Directory

National Provider Directory

Locations

149 Reinhardt College Pkwy
Ste 8
Canton, GA 30114
Phone (470) 646-3119

110 Evans Mill Dr
Ste 309
Dallas, GA 30157
Phone (470) 464-7733

120 Hickory Rd
Holly Springs, GA 30115
Phone (670) 880-6616

377 Mountain Blvd S
Ste 101
Jasper, GA 30143
Phone (470) 594-3060

377 Mountain Blvd S
Unit 6
Jasper, GA 30143
Phone (670) 880-6616

4255 Wade Green Rd NW
Ste 215
Kennesaw, GA 30144
Phone (670) 880-6616

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1023764172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HICKORY RD",
            "city": "HOLLY SPRINGS",
            "state": "GA",
            "postal_code": "301159600",
            "telephone_number": "678-880-6616",
            "fax_number": "678-880-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HICKORY RD",
            "city": "HOLLY SPRINGS",
            "state": "GA",
            "postal_code": "301159600",
            "telephone_number": "678-880-6616",
            "fax_number": "678-880-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA CHIROPRACTIC AND MASSAGE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-355-0346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.