Organization Active NPI

Lawrenceville Family Chiropractic

  • Chiropractor
  • Lawrenceville, GA
National Provider Identifier
1043426489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1214500 Issued in GA
Legal business name
LAWRENCEVILLE FAMILY CHIROPRACTIC
Practice address
295 W Pike St
Lawrenceville, GA 30045-4877
Phone
(678) 225-4800
Fax
(678) 225-4801
NPI assigned
May 15, 2007
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. Steve L Goninan, DC
Title
Owner
Phone
(678) 225-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1214500 GA Primary

Addresses

Primary practice location

295 W Pike St
Lawrenceville, GA 30045-4877

Mailing address

295 W Pike St
Lawrenceville, GA 30045-4877
Phone (678) 225-4800

Other identifiers 1

IdentifierTypeStateIssuer
1214500OtherGABUSINESS LICENSE

National Provider Directory

National Provider Directory

Locations

295 W Pike St
Lawrenceville, GA 30046
Phone (678) 225-4800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043426489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 W PIKE ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454877",
            "telephone_number": "678-225-4800",
            "fax_number": "678-225-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 W PIKE ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454877",
            "telephone_number": "678-225-4800",
            "fax_number": "678-225-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEVILLE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONINAN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-225-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "1214500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "1214500",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, 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.