Organization Active NPI

HP Spine Center Inc

  • Chiropractor
  • Smyrna, GA
National Provider Identifier
1124115381
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6096 Issued in GA
Legal business name
HP SPINE CENTER INC
Practice address
2424 Herodian Way SE
Smyrna, GA 30080-2904
Phone
(770) 952-5353
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Authorized official

Name
Dr. Don N Parkerson Jr., D.C.NPI 1508062068
Title
President
Phone
(770) 952-5353

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 6096 GA Primary

Addresses

Primary practice location

2424 Herodian Way SE
Smyrna, GA 30080-2904

Mailing address

2424 Herodian Way SE
Smyrna, GA 30080-2904
Phone (770) 952-5353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000705 GA Part B Supplier - Clinic/Group Practice 1355501842 Receives reassigned benefits from 2 practitioners
Practice locations: Smyrna, GA

National Provider Directory

National Provider Directory
Tax ID family
HP Spine 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

2424 Herodian Way SE
Smyrna, GA 30080
Phone (770) 952-5353

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": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1124115381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 HERODIAN WAY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802904",
            "telephone_number": "770-952-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 HERODIAN WAY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802904",
            "telephone_number": "770-952-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HP SPINE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "PARKERSON",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-952-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.