NPIMap

Organization Active NPI

Fayette Chiropractic Center, Inc

  • Chiropractor
  • Jonesboro, GA
National Provider Identifier
1114381175
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2211 Issued in GA
Legal business name
FAYETTE CHIROPRACTIC CENTER, INC
Practice address
7208 Tara Blvd
Jonesboro, GA 30236-1902
Phone
(770) 461-2225
Fax
(404) 875-7961
NPI assigned
Apr 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Dr. Linda H Katz, D.CNPI 1003855396
Title
Owner/ Chiropractor
Phone
(770) 461-2225

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 2211 GA Primary

Addresses

Primary practice location

7208 Tara Blvd
Jonesboro, GA 30236-1902

Mailing address

1905 Windham Park NE
Atlanta, GA 30324-4960
Phone (404) 384-3312

National Provider Directory

National Provider Directory
Tax ID family
Fayette Chiropractic Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7208 Tara Blvd
Jonesboro, GA 30236
Phone (770) 461-2225

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1114381175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 WINDHAM PARK NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244960",
            "telephone_number": "404-384-3312",
            "fax_number": "404-875-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 TARA BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361902",
            "telephone_number": "770-461-2225",
            "fax_number": "404-875-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "770-461-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.