Lyonspine Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LYONSPINE CHIROPRACTIC LLC

Practice address

200 Industrial Blvd Ste 108
Ellijay, GA 30540-3721

Phone

(706) 636-4325

NPI assigned

Jun 25, 2018

Organization subpart

Yes

Parent organization

LYONSPINE CHIROPRACTIC LLCAs reported in NPPES

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

Authorized official

Name

Sean Lyons, DCNPI 1992158919

Title

Doctor of Chiropractic

Phone

(706) 636-4325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Part of

Lyonspine Chiropractic LLC

Locations

Practitioners 2

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

• Sean Lyons, DC

  • Chiropractor
  • Tucker, GA
  • NPI 1992158919
  Medicare reassignment Authorized official
• Ronald Craig Clark, D.C., PH.D.

  • Rehabilitation Chiropractor
  • Ellijay, GA
  • NPI 1356400105
  NPD (past)

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1073008967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 INDUSTRIAL BLVD STE 108",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403721",
            "telephone_number": "706-636-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 INDUSTRIAL BLVD STE 108",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403721",
            "telephone_number": "706-636-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYONSPINE CHIROPRACTIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LYONSPINE CHIROPRACTIC LLC",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "706-636-4325",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia S Lovelace
• LTC Scriptsrx LLC
• Ellen N Luse, RPH
• Shay Daniels Lykins, D.M.D.
• Kirstin Ainsley Lyons, DC
• Carissa Lorraine Markle
• Stephen Clay Marks, LPC
• Michelle F Martin, D.D.S
• Robert James Mattox, ED.D
• Kasey McMillan, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.