Individual provider Active NPI

Gregory Benton Talley, D.C.

  • Orthopedic Chiropractor
  • Atlanta, GA
National Provider Identifier
1083666739
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
2913 Issued in GA
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

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2913GAMDOrthopedic Chiropractor
GA2913GAMDOrthopedic 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.

Verify at the official NPI Registry.