Active NPI
Chirag G Patel, D.C.
- Rehabilitation Chiropractor
- Norcross, GA
National Provider Identifier
1114096328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CHIR007583
- Practice address
- 5775 Jimmy Carter Blvd
Suite M 220 a
Norcross, GA 30071-2989 - Phone
- (770) 582-0873
- Fax
- (770) 582-0863
- NPI assigned
- Nov 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CHIR007583 | GA | Primary |
Addresses
Primary practice location
5775 Jimmy Carter Blvd
Suite M 220 a
Norcross, GA 30071-2989
Mailing address
5775 Jimmy Carter Blvd
Suite M 220 a
Norcross, GA 30071-2989
Phone (770) 582-0873
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR007583 | GA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114096328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 JIMMY CARTER BLVD",
"address_2": "SUITE M 220 A",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300712989",
"telephone_number": "770-582-0873",
"fax_number": "770-582-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 JIMMY CARTER BLVD",
"address_2": "SUITE M 220 A",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300712989",
"telephone_number": "770-582-0873",
"fax_number": "770-582-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "CHIRAG",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "CHIR007583",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.