Active NPI
Norcross Chiropractic & Physical Rehab, LLC
- Chiropractor
- Norcross, GA
National Provider Identifier
1073720207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007257
- Legal business name
- NORCROSS CHIROPRACTIC & PHYSICAL REHAB, LLC
- Practice address
- 5390 Peachtree Industrial Blvd
Ste 120
Norcross, GA 30071-4715 - Phone
- (770) 416-2225
- Fax
- (770) 416-2224
- NPI assigned
- May 17, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph C. Druda, D.C.
- Title
- Clinic Director
- Phone
- (770) 416-2225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007257 | GA | Primary |
Addresses
Primary practice location
5390 Peachtree Industrial Blvd
Ste 120
Norcross, GA 30071-4715
Mailing address
5390 Peachtree Industrial Blvd
Ste 120
Norcross, GA 30071-4715
Phone (770) 416-2225
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Norcross, GA
- NPI 1578620787
-
- Chiropractor
- Norcross, GA
- NPI 1063629855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073720207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5390 PEACHTREE INDUSTRIAL BLVD",
"address_2": "STE 120",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300714715",
"telephone_number": "770-416-2225",
"fax_number": "770-416-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5390 PEACHTREE INDUSTRIAL BLVD",
"address_2": "STE 120",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300714715",
"telephone_number": "770-416-2225",
"fax_number": "770-416-2224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORCROSS CHIROPRACTIC & PHYSICAL REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DRUDA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "770-416-2225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "007257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.