Active NPI
Gregory Benton Talley, D.C.
- Orthopedic Chiropractor
- Atlanta, GA
National Provider Identifier
1083666739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 2913
- Practice address
- 1544 Piedmont Ave NE Ste 109
Atlanta, GA 30324-5018 - Phone
- (404) 892-8191
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | GA2913 | GA | |
| Orthopedic Chiropractor | 111NX0800X | 2913 | GA | Primary |
Addresses
Primary practice location
1544 Piedmont Ave NE Ste 109
Atlanta, GA 30324-5018
Mailing address
1544 Piedmont Ave NE Ste 109
Atlanta, GA 30324-5018
Phone (404) 892-8191
Other practice location 1
1529 Piedmont Ave NE
Suite
Atlanta, GA 30324-5000
Phone (404) 892-8191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101119000966 | GA | Practitioner - Chiropractic | 2264628965 | Practice locations: Atlanta, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1544 Piedmont Ave
NE Suite 109
Atlanta, GA 30324-5018
1544 Piedmont Ave NE
Atlanta, GA 30324-5018
Phone (404) 892-8191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2913 | GA | MD | Orthopedic Chiropractor |
| GA2913 | GA | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1083666739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1544 PIEDMONT AVE NE STE 109",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303245018",
"telephone_number": "404-892-8191",
"fax_number": "404-892-8197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 PIEDMONT AVE NE STE 109",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303245018",
"telephone_number": "404-892-8191"
}
],
"practiceLocations": [
{
"address_1": "1529 Piedmont Ave NE",
"address_2": "Suite",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303245000",
"country_code": "US",
"telephone_number": "404-892-8191",
"fax_number": "404-892-8197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALLEY",
"first_name": "GREGORY",
"middle_name": "BENTON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "GA",
"license": "GA2913",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "GA",
"license": "2913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.