Eric John Larson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO07425 Issued in GA

Practice address

676 Mullins Colony Dr
Evans, GA 30809-0579

Phone

(706) 210-8550

Fax

(706) 210-7105

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Larson Chiropractic Wellness Center

  • Chiropractor
  • Eatonton, GA
  • NPI 1891671038
  Medicare reassignment NPD Authorized official
• Larson Chiropractic,PC

  • Chiropractor
  • Evans, GA
  • NPI 1073706511
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1053454819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 MULLINS COLONY DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090579",
            "telephone_number": "706-210-8550",
            "fax_number": "706-210-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 MULLINS COLONY DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090579",
            "telephone_number": "706-210-8550",
            "fax_number": "706-210-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrianna Lamora
• Lacreisha Lane, QASP
• Rachel D Lane, MS CCC-SLP
• Jessica Marie Lanford, , DPT
• Larson Chiropractic,PC
• Adrian Nicole Lawrence, PHARM.D.
• Heather Layton
• LCS Brandon Wilde LLC
• Kristy Ledford, LPC
• Lauren Ledford

• Chiropractor in Evans, GA
• Providers in Evans, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.