Active NPI
Jared M Croskey, DC
- Chiropractor
- Cumming, GA
National Provider Identifier
1174288450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR010648
- Practice address
- 308 Canton Rd Ste B
Cumming, GA 30040-2215 - Phone
- (706) 994-4618
- NPI assigned
- Nov 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR010648 | GA | Primary |
Addresses
Primary practice location
308 Canton Rd Ste B
Cumming, GA 30040-2215
Mailing address
1142 Old Roswell Rd
Roswell, GA 30076-1629
Phone (706) 994-4618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR010648 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1174288450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 OLD ROSWELL RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761629",
"telephone_number": "706-994-4618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 CANTON RD STE B",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402215",
"telephone_number": "706-994-4618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSKEY",
"first_name": "JARED",
"middle_name": "M",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-02",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR010648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.