Individual provider Active NPI

Gregory J Krown, D.C.

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1154466910
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006232 Issued in GA
Practice address
145 N Marietta Pkwy NE
Suite D
Marietta, GA 30060-8023
Phone
(770) 426-9707
Fax
(770) 426-1974
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006232 GA Primary

Addresses

Primary practice location

145 N Marietta Pkwy NE
Suite D
Marietta, GA 30060-8023

Mailing address

145 N Marietta Pkwy NE
Suite D
Marietta, GA 30060-8023
Phone (770) 426-9707

Other identifiers 1

IdentifierTypeStateIssuer
618978OtherGAUNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000313 GA Practitioner - Chiropractic 2769659697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pizza Clinic of ChiropracticGroup PAC ID 3971530874, 2 clinicians

Practice addresses (Care Compare)

3284 Dogwood Dr
Hapeville, GA 30354-1158
Phone (404) 761-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pizza Clinic of Chiropractic Chiropractor CurrentSince Jun 14, 2000 Accepting new patients

Locations

3284 Dogwood Dr
Hapeville, GA 30354
Phone (404) 761-6200

Organizations & group practices 1

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154466910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N MARIETTA PKWY NE",
            "address_2": "SUITE D",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608023",
            "telephone_number": "770-426-9707",
            "fax_number": "770-426-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N MARIETTA PKWY NE",
            "address_2": "SUITE D",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608023",
            "telephone_number": "770-426-9707",
            "fax_number": "770-426-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROWN",
        "first_name": "GREGORY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "618978",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, 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.
  • 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.