Individual provider Active NPI

George Gregory Davis, B.S., D.C.

  • Chiropractor
  • Canton, GA
National Provider Identifier
1194813170
Registry record updated Apr 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006295 Issued in GA
Practice address
8136 Knox Bridge Hwy Ste 3
Canton, GA 30114-8522
Phone
(470) 820-3970
NPI assigned
Oct 11, 2006
Last updated
Apr 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006295 GA Primary

Addresses

Primary practice location

8136 Knox Bridge Hwy Ste 3
Canton, GA 30114-8522

Mailing address

700 Newcastle CT
Canton, GA 30114-8452
Phone (470) 820-3970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819000600 GA Practitioner - Chiropractic 5395721492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8136 Knox Bridge Hwy
Suite 3
Canton, GA 30114-8522
Phone (770) 363-8474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Canton West Chiropractic CurrentSince May 7, 2025 Accepting new patients
Northside Spinal Center Inc Chiropractor CurrentSince Mar 1, 2004 Accepting new patients

Locations

101 Mountain Brook Dr
#104
Canton, GA 30115
Phone (678) 880-6616

8136 Knox Bridge Hwy
Ste 3
Canton, GA 30114
Phone (470) 820-3970

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744502400000",
    "number": "1194813170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NEWCASTLE CT",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148452",
            "telephone_number": "470-820-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8136 KNOX BRIDGE HWY STE 3",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148522",
            "telephone_number": "470-820-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GEORGE",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "B.S., D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-04-13",
        "certification_date": "2025-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.