Caryn Ann Grzesiakowski, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR006958 Issued in GA

Practice address

809 Flint River Road
Suite #4
Jonesboro, GA 30238

Phone

(770) 478-6040

Fax

(770) 478-6061

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Tara Chiropractic Care Center, LLC

  • Chiropractor
  • Jonesboro, GA
  • NPI 1497970024
  Medicare reassignment NPD Authorized official
• Southside Medical & Physical Therapy, LLC

  • Interventional Pain Medicine Physician
  • Fayetteville, GA
  • NPI 1063628675
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205050259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1378",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "770-478-6040",
            "fax_number": "770-478-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 FLINT RIVER ROAD",
            "address_2": "SUITE #4",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "30238",
            "telephone_number": "770-478-6040",
            "fax_number": "770-478-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZESIAKOWSKI",
        "first_name": "CARYN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006958",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameika Gregory, OTR/L
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• Lisa Griffin-Moh
• Judy Griffin
• Sanford E. Gruskin, D.D.S., M.S.D.
• GT Homecare LLC
• Angel M Guardiola, DMD
• Eric Guerra, RPH
• Guiding Hand Perssonal Care Home
• Cassandra Gunn

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.