Individual provider Active NPI

Pasqueal Bigoms Sr., CHIROPRACTOR

  • Chiropractor
  • Fayetteville, GA
National Provider Identifier
1194237388
Registry record updated Oct 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009781 Issued in GA
Practice address
185 Georgia Ave E
Fayetteville, GA 30214
Phone
(770) 461-0055
NPI assigned
Oct 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009781 GA Primary

Addresses

Primary practice location

185 Georgia Ave E
Fayetteville, GA 30214

Mailing address

185 Georgia Ave E
Fayetteville, GA 30214-1615
Phone (770) 461-0055

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009781GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alleviation LLC Chiropractor Current Accepting new patients

Locations

185 Georgia Ave E
Fayetteville, GA 30214
Phone (770) 461-0055

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1509235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509235200000",
    "number": "1194237388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 GEORGIA AVE E",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141615",
            "telephone_number": "770-461-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 GEORGIA AVE E",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "770-461-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGOMS",
        "first_name": "PASQUEAL",
        "name_suffix": "Sr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-29",
        "last_updated": "2017-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2017; 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.