Charles D. Lecroy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008065 Issued in GA

Practice address

3542 Sixes Rd
Ste 100
Canton, GA 30114-9124

Phone

(770) 720-1388

Fax

(770) 720-1389

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgia Chiropractic Group at Sixes

  • Chiropractor
  • Canton, GA
  • NPI 1518199165
  Medicare reassignment NPD Authorized official
• Bridgemill Health Group LLC

  • Family Medicine Physician
  • Canton, GA
  • NPI 1023362191

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1184789042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 LAKE RIDGE CT",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148995",
            "telephone_number": "404-348-7250",
            "fax_number": "770-720-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3542 SIXES RD",
            "address_2": "STE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149124",
            "telephone_number": "770-720-1388",
            "fax_number": "770-720-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECROY",
        "first_name": "CHARLES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy West Laviola, M.ED.
• Lana Law
• Dwayne Lay, DPM
• Jessica Leach
• Lead to Learn LLC
• Ester Lee, PHARMD
• Gina C Lee, ATC, LAT
• Seema Kansal Lee, MD
• Spencer Michael Lee, M.D.
• Tegan Jean Legendre, BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.