NPIMap

Organization Active NPI

Advanced Medical Clinics, P.C.

  • Chiropractor
  • Lake City, GA
National Provider Identifier
1043495427
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR002353 Issued in GA
Legal business name
ADVANCED MEDICAL CLINICS, P.C.
Practice address
5499 Jonesboro Rd
Lake City, GA 30260-3553
Phone
(404) 363-6460
Fax
(404) 363-4348
NPI assigned
Jan 4, 2008
Last updated
Jan 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Ms. Lisa Roche
Title
Office Manager
Phone
(404) 363-6460

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CHIR002353 GA Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 047279 GA

Addresses

Primary practice location

5499 Jonesboro Rd
Lake City, GA 30260-3553

Mailing address

5499 Jonesboro Rd
Lake City, GA 30260-3553
Phone (404) 363-6460

National Provider Directory

National Provider Directory

Locations

5499 Jonesboro Rd
#R
Lake City, GA 30260

Practitioners & affiliated clinicians

Practitioners 7

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": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1043495427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5499 JONESBORO RD",
            "city": "LAKE CITY",
            "state": "GA",
            "postal_code": "302603553",
            "telephone_number": "404-363-6460",
            "fax_number": "404-363-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5499 JONESBORO RD",
            "city": "LAKE CITY",
            "state": "GA",
            "postal_code": "302603553",
            "telephone_number": "404-363-6460",
            "fax_number": "404-363-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL CLINICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-363-6460",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002353",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "047279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.