Active NPI
Pierre D Rousse, D.C
- Chiropractor
- Norcross, GA
National Provider Identifier
1114026291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1624
- Practice address
- 5425 Peachtree Pkwy
Norcross, GA 30092-6536 - Phone
- (770) 662-8937
- Fax
- (678) 906-2799
- NPI assigned
- Sep 22, 2006
- Last updated
- Feb 22, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1624 | GA | Primary |
Addresses
Primary practice location
5425 Peachtree Pkwy
Norcross, GA 30092-6536
Mailing address
5425 Peachtree Pkwy
Norcross, GA 30092-6536
Phone (770) 662-8937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511I350160 | Other | GA | MEDICARE, UNSPECIFIED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Norcross, GA
- NPI 1902196736
-
- Chiropractor
- Norcross, GA
- NPI 1518119742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1114026291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5425 PEACHTREE PKWY",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300926536",
"telephone_number": "770-662-8937",
"fax_number": "678-906-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 PEACHTREE PKWY",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300926536",
"telephone_number": "770-662-8937",
"fax_number": "678-906-2799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSSE",
"first_name": "PIERRE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "1624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE, UNSPECIFIED",
"identifier": "511I350160",
"state": "GA"
}
],
"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 Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.