Individual provider Active NPI

Constance Harrison, DC

  • Chiropractor
  • Buford, GA
National Provider Identifier
1124798285
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO11234 Issued in GA
Practice address
1400 Buford Hwy Ste K7
Buford, GA 30518-8776
Phone
(678) 904-2074
Fax
(678) 648-2243
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO11234 GA Primary
Chiropractor 111N00000X 3438 TN

Addresses

Primary practice location

1400 Buford Hwy Ste K7
Buford, GA 30518-8776

Mailing address

115 E Main St # 0E
Buford, GA 30518-5727
Phone (678) 904-2074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220927000995 MS Practitioner - Chiropractic 0345647715
I20251021001163 GA Practitioner - Chiropractic 0345647715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 Burford Hwy
Suite K7
Buford, GA 30518-8776
Phone (678) 904-2074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO11234GAMDChiropractor
3438TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Chiro Place of Collierville PLLC Chiropractor CurrentSince Aug 26, 2021 Accepting new patients
The Chiro Place of Douglasville PC Chiropractor CurrentSince Sep 24, 2023 Accepting new patients
Chirodot Mobile Health Services LLC Chiropractor CurrentSince Sep 15, 2025 Accepting new patients
The Chiro Place PLLC Chiropractor PastSince Aug 26, 2021 Accepting new patients

Locations

115 E Main St
#0E
Buford, GA 30518

1400 Buford Hwy
Ste K7
Buford, GA 30518
Phone (678) 904-2074

8101 Hacks Cross Rd
Ste 110
Olive Branch, MS 38654

1630 Goodman Rd E
Ste 3
Southaven, MS 38671
Phone (662) 470-7232

3615 S Houston Levee Rd
Ste 110
Collierville, TN 38017
Phone (901) 217-7173

Organizations & group practices 4

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124798285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST # 0E",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185727",
            "telephone_number": "678-904-2074",
            "fax_number": "678-648-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BUFORD HWY STE K7",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188776",
            "telephone_number": "678-904-2074",
            "fax_number": "678-648-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "CONSTANCE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO11234",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.