Active NPI
Alexander Gebhardt, DC
- Rehabilitation Chiropractor
- Roswell, GA
National Provider Identifier
1184770620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CHIRO007542
- Practice address
- 415 E Crossville Rd
Suite B
Roswell, GA 30075-3037 - Phone
- (770) 645-9595
- Fax
- (770) 645-9522
- NPI assigned
- Jan 26, 2007
- Last updated
- Oct 9, 2007
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CHIRO007542 | GA | Primary |
Addresses
Primary practice location
415 E Crossville Rd
Suite B
Roswell, GA 30075-3037
Mailing address
415 E Crossville Rd
Suite B
Roswell, GA 30075-3037
Phone (770) 645-9595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CHIRO007542 | Other | GA | STATE OF GEORGIA LICENSE |
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 |
|---|---|---|---|
| CHIRO007542 | GA | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweet Apple Health Group | Current | Accepting new patients | |
| Pinnacle Care Group | Rehabilitation | Past | Accepting new patients |
| Pinnacle Care Group LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Roswell, GA
- NPI 1891091856
-
- Rehabilitation Chiropractor
- Roswell, GA
- NPI 1235285784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1184770620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E CROSSVILLE RD",
"address_2": "SUITE B",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753037",
"telephone_number": "770-645-9595",
"fax_number": "770-645-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E CROSSVILLE RD",
"address_2": "SUITE B",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753037",
"telephone_number": "770-645-9595",
"fax_number": "770-645-9522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBHARDT",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "CHIRO007542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF GEORGIA LICENSE",
"identifier": "CHIRO007542",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.