True Source Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009520 Issued in GA

Legal business name

TRUE SOURCE FAMILY CHIROPRACTIC LLC

Practice address

11 Buford Village Way
Ste 127
Buford, GA 30518-8845

Phone

(404) 889-5050

NPI assigned

Jul 28, 2015

Last updated

Oct 22, 2015By 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. Timothy Smith, DCNPI 1730564089

Title

Owner

Phone

(404) 889-5050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Timothy Smith, DC

  • Chiropractor
  • Buford, GA
  • NPI 1730564089
  Medicare reassignment NPD Authorized official
• Caitlyn Lee Cortner, DC

  • Chiropractor
  • Cumming, GA
  • NPI 1114420270
  NPD (past)

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1184009433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BUFORD VILLAGE WAY",
            "address_2": "STE 127",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BUFORD VILLAGE WAY",
            "address_2": "STE 127",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188845",
            "telephone_number": "404-889-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE SOURCE FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-889-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Buford, GA
• Providers in Buford, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.