Individual provider Active NPI

Monique Headrick, DC

  • Chiropractor
  • Cartersville, GA
National Provider Identifier
1053470922
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO07650 Issued in GA
Practice address
981 Cassville White Rd NE
Cartersville, GA 30121-7204
Phone
(678) 478-7676
Fax
(770) 383-9113
NPI assigned
Dec 7, 2006
Sex
Female
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 CHIRO07650 GA Primary

Addresses

Primary practice location

981 Cassville White Rd NE
Cartersville, GA 30121-7204

Mailing address

205 Hufstetler Rd NE
Resaca, GA 30735-6524
Phone (678) 478-7676

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
CHIRO07650GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Clinic of Chiropractic P.C. CurrentSince Jul 2, 2013 Accepting new patients
Total Health PLLC Chiropractor CurrentSince Aug 29, 2018 Accepting new patients

Locations

955 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 866-7575

Organizations & group practices 2

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053470922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HUFSTETLER RD NE",
            "city": "RESACA",
            "state": "GA",
            "postal_code": "307356524",
            "telephone_number": "678-478-7676",
            "fax_number": "770-383-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 CASSVILLE WHITE RD NE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301217204",
            "telephone_number": "678-478-7676",
            "fax_number": "770-383-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADRICK",
        "first_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, 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.