Canton Physical Medicare, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CANTON PHYSICAL MEDICARE, LLC

Practice address

2050 Cumming Hwy
Suite 100
Canton, GA 30114-8614

Phone

(770) 345-9600

NPI assigned

Sep 23, 2010

Last updated

Sep 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven D PeyrouxNPI 1245287945

Title

Owner

Phone

(770) 345-9600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Steven D Peyroux, D.C.

  • Chiropractor
  • Canton, GA
  • NPI 1245287945
  Authorized official Same address or phone

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1174831218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CUMMING HWY",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148614",
            "telephone_number": "770-345-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CUMMING HWY",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148614",
            "telephone_number": "770-345-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON PHYSICAL MEDICARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "PEYROUX",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-345-9600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canton Northside Pharmacy Inc (Canton Northside Pharmacy)
• Canton Opco, LLC (The Landings of Canton Hills)
• Canton Orthodontics LLC
• Canton Orthopaedics and Sports Medicine, P.C.
• Canton Pediatric Dentistry PC
• Canton Senior Living, LLC (Terrace at Riverstone)
• Canton Smiles Dentistry, PC (Canton Smiles Dentistry)
• Canton Specialty Imaging, LLC
• Canton Wellness Center LLC
• Canton Wellness Center LLC

• Physical Medicine & Rehabilitation Physician in Canton, GA
• Providers in Canton, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.