Maxcare Medical Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MAXCARE MEDICAL CENTER, LLC

Doing business as

PROCARE PHYSICIAN GROUP

Practice address

150 Medical Blvd Ste C
Stockbridge, GA 30281-5053

Phone

(678) 289-4901

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Geetha Manchireddy, M.D.

Title

President

Phone

(404) 844-2900

Specialties & licenses 1

Addresses

Other names 1

• PROCARE PHYSICIAN GROUP Doing business as

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1194086678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MEDICAL BLVD STE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MEDICAL BLVD STE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815053",
            "telephone_number": "678-289-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXCARE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "MANCHIREDDY",
        "authorized_official_first_name": "GEETHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-844-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROCARE PHYSICIAN GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.