Larson Chiropractic,PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO07425 Issued in GA

Legal business name

LARSON CHIROPRACTIC,PC

Practice address

676 Mullins Colony Dr
Evans, GA 30809-0579

Phone

(706) 210-8550

Fax

(706) 210-7105

NPI assigned

Aug 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eric John Larson, DCNPI 1053454819

Title

Owner

Phone

(706) 210-8550

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Eric John Larson, D.C.

  • Chiropractor
  • Evans, GA
  • NPI 1053454819
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1073706511",
    "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": {
        "organization_name": "LARSON CHIROPRACTIC,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-18",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-210-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07425",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "CHIRO07425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Daniels Lambert, M.S. CCC-SLP
• Audrianna Lamora
• Lacreisha Lane, QASP
• Rachel D Lane, MS CCC-SLP
• Jessica Marie Lanford, , DPT
• Eric John Larson, D.C.
• Adrian Nicole Lawrence, PHARM.D.
• Heather Layton
• LCS Brandon Wilde LLC (The Pavilion at Brandon Wilde)
• Kristy Ledford, LPC

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.