Individual provider Active NPI

Roger Charlton Hawes, D.C.

  • Chiropractor
  • Snellville, GA
National Provider Identifier
1215074455
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR000632 Issued in GA
Practice address
2151 Fountain Dr
Suite 105
Snellville, GA 30078-6783
Phone
(770) 972-4408
Fax
(770) 972-6873
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR000632 GA Primary

Addresses

Primary practice location

2151 Fountain Dr
Suite 105
Snellville, GA 30078-6783

Mailing address

2151 Fountain Dr
Suite 105
Snellville, GA 30078-6783
Phone (770) 972-4408

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
CHIR000632GAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215074455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 FOUNTAIN DR",
            "address_2": "SUITE 105",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786783",
            "telephone_number": "770-972-4408",
            "fax_number": "770-972-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 FOUNTAIN DR",
            "address_2": "SUITE 105",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786783",
            "telephone_number": "770-972-4408",
            "fax_number": "770-972-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWES",
        "first_name": "ROGER",
        "middle_name": "CHARLTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR000632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.