Individual provider Active NPI

Adam Craig Virgilio, DC

  • Chiropractor
  • Buford, GA
National Provider Identifier
1053411587
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006561 Issued in GA
Practice address
3280 Hamilton Mill Rd
Suite 304
Buford, GA 30519-4003
Phone
(678) 546-8044
Fax
(678) 546-8047
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006561 GA Primary

Addresses

Primary practice location

3280 Hamilton Mill Rd
Suite 304
Buford, GA 30519-4003

Mailing address

982 Apalachee Run TRL
Dacula, GA 30019-6704
Phone (678) 376-2251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR006561GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Healthcare of Buford CurrentSince Jan 1, 2012 Accepting new patients
Aica Orthopedics, P.C. Chiropractor Past Accepting new patients
Anchor Family Chiropractic LLC Chiropractor Past Accepting new patients
Aica Orthopedics, P. C. Past Accepting new patients

Locations

3280 Hamilton Mill Rd
Ste 304
Buford, GA 30519
Phone (678) 546-8044

2085 Hamilton Creek Pkwy
Ste 160
Dacula, GA 30019
Phone (678) 546-8044

Interoperability endpoints

  • Direct secure messaging: adam.virgilio.p1@direct.aicaorthopedics.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053411587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 APALACHEE RUN TRL",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196704",
            "telephone_number": "678-376-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HAMILTON MILL RD",
            "address_2": "SUITE 304",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194003",
            "telephone_number": "678-546-8044",
            "fax_number": "678-546-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRGILIO",
        "first_name": "ADAM",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.