Organization Active NPI

Balance Chiropractic Inc.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1144455346
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008226 Issued in GA
Legal business name
BALANCE CHIROPRACTIC INC.
Practice address
905 Juniper St NE
Suite #109
Atlanta, GA 30309-4128
Phone
(404) 870-0109
Fax
(404) 870-0108
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Dr. Greg Cameron Graham, D.C.
Title
Owner
Phone
(404) 870-0109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR008226 GA Primary

Addresses

Primary practice location

905 Juniper St NE
Suite #109
Atlanta, GA 30309-4128

Mailing address

905 Juniper St NE
Suite #109
Atlanta, GA 30309-4128
Phone (404) 870-0109

Other names 1

  • Midtown Life Studio Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1144455346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 JUNIPER ST NE",
            "address_2": "SUITE #109",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094128",
            "telephone_number": "404-870-0109",
            "fax_number": "404-870-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 JUNIPER ST NE",
            "address_2": "SUITE #109",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094128",
            "telephone_number": "404-870-0109",
            "fax_number": "404-870-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-870-0109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Life Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.