Organization Active NPI

North Decatur Health Care, Inc

  • Chiropractor
  • Decatur, GA
National Provider Identifier
1093765877
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006697 Issued in GA
Legal business name
NORTH DECATUR HEALTH CARE, INC
Practice address
2298 Lawrenceville Hwy
Decatur, GA 30033-3101
Phone
(404) 325-2856
Fax
(404) 315-0633
NPI assigned
May 11, 2006
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. Gretchen Lee Gibbs, D.C.NPI 1972554921
Title
Owner/Predisent
Phone
(404) 325-2856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006697 GA Primary

Addresses

Primary practice location

2298 Lawrenceville Hwy
Decatur, GA 30033-3101

Mailing address

2298 Lawrenceville Hwy
Decatur, GA 30033-3101
Phone (404) 325-2856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060518000002 GA Part B Supplier - Clinic/Group Practice 5294746707 Receives reassigned benefits from 2 practitioners
Practice locations: Decatur, GA

National Provider Directory

National Provider Directory

Locations

2298 Lawrenceville Hwy
Decatur, GA 30033
Phone (404) 325-2856

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093765877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2298 LAWRENCEVILLE HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333101",
            "telephone_number": "404-325-2856",
            "fax_number": "404-315-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2298 LAWRENCEVILLE HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333101",
            "telephone_number": "404-325-2856",
            "fax_number": "404-315-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DECATUR HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PREDISENT",
        "authorized_official_telephone_number": "404-325-2856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, 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.
  • 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.