Organization Active NPI

Lilburn Family Chiropractic LLC

Doing business as Eden Chiropractic

  • Chiropractor
  • Buford, GA
National Provider Identifier
1174407431
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LILBURN FAMILY CHIROPRACTIC LLC
Doing business as
Eden Chiropractic
Practice address
1630 Buford Hwy Ste 6
Buford, GA 30518-3630
Phone
(678) 595-4320
NPI assigned
Jul 31, 2025
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Kelly Stone, DCNPI 1912418955
Title
Co-Owner
Phone
(678) 595-4320

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1630 Buford Hwy Ste 6
Buford, GA 30518-3630

Mailing address

2647 Brook Forest Dr
Lawrenceville, GA 30043-7654

Other names 1

  • EDEN CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251215002793 GA Part B Supplier - Clinic/Group Practice 3375037559 Receives reassigned benefits from 1 practitioner
Practice locations: Buford, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1174407431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 BROOK FOREST DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 BUFORD HWY STE 6",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183630",
            "telephone_number": "678-595-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILBURN FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "678-595-4320",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDEN CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 2025; 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.