Individual provider Active NPI

David Durand Gaucher, D.C.

  • Chiropractor
  • Fayetteville, GA
National Provider Identifier
1215099825
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006853 Issued in GA
Practice address
200 E Lanier Ave
Fayetteville, GA 30214-1604
Phone
(770) 461-8781
Fax
(770) 461-5079
NPI assigned
Dec 14, 2006
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006853 GA Primary

Addresses

Primary practice location

200 E Lanier Ave
Fayetteville, GA 30214-1604

Mailing address

200 Lanier Ave E
Fayetteville, GA 30214-1604
Phone (770) 719-1985

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251222000021 GA Practitioner - Chiropractic 3779078365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rasmussen Chiropractic CenterGroup PAC ID 0941795454, 2 clinicians

Practice addresses (Care Compare)

200 Lanier Ave E
Fayetteville, GA 30214-1604
Phone (678) 234-6461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR006853GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rasmussen Chiropractic Center Chiropractor CurrentSince Oct 31, 2025 Accepting new patients

Locations

200 Lanier Ave E
Fayetteville, GA 30214
Phone (678) 234-6461

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, 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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1215099825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LANIER AVE E",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141604",
            "telephone_number": "770-719-1985",
            "fax_number": "770-461-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E LANIER AVE",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141604",
            "telephone_number": "770-461-8781",
            "fax_number": "770-461-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUCHER",
        "first_name": "DAVID",
        "middle_name": "DURAND",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006853",
            "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 Sep 16, 2021; 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.