Organization Active NPI

Norcross Chiropractic & Physical Rehab, LLC

  • Chiropractor
  • Norcross, GA
National Provider Identifier
1073720207
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007257 Issued in GA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.