Individual provider Active NPI

Steven R Pipon, DC

  • Chiropractor
  • Canton, GA
National Provider Identifier
1104508084
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR011054 Issued in GA
Practice address
149 Reinhardt College Pkwy Ste 8
Canton, GA 30114-5298
Phone
(470) 646-3119
NPI assigned
Aug 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR011054 GA Primary

Addresses

Primary practice location

149 Reinhardt College Pkwy Ste 8
Canton, GA 30114-5298

Mailing address

1727 Akers Ridge Dr SE
Atlanta, GA 30339-3230
Phone (814) 659-6790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919003684 GA Practitioner - Chiropractic 4183088412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Chiropractic and Massage PCGroup PAC ID 7810375383, 6 clinicians

Practice addresses (Care Compare)

120 Hickory Rd
Holly Springs, GA 30115-9600
Phone (670) 880-6616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR011054GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Chiropractic and Massage, PC Chiropractor CurrentSince Aug 1, 2023 Accepting new patients

Locations

149 Reinhardt College Pkwy
Ste 8
Canton, GA 30114
Phone (470) 646-3119

120 Hickory Rd
Holly Springs, GA 30115
Phone (670) 880-6616

4255 Wade Green Rd NW
Ste 215
Kennesaw, GA 30144
Phone (670) 880-6616

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1104508084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 AKERS RIDGE DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393230",
            "telephone_number": "814-659-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 REINHARDT COLLEGE PKWY STE 8",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145298",
            "telephone_number": "470-646-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPON",
        "first_name": "STEVEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.