Active NPI
Douglas A Laross, D.C.
- Chiropractor
- Acworth, GA
National Provider Identifier
1225127855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6046
- Practice address
- 2538 Cedarcrest Rd
Ste. 113
Acworth, GA 30101-8293 - Phone
- (770) 222-7555
- Fax
- (770) 222-1919
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6046 | GA | Primary |
Addresses
Primary practice location
2538 Cedarcrest Rd
Ste. 113
Acworth, GA 30101-8293
Mailing address
2538 Cedarcrest Rd
Ste. 113
Acworth, GA 30101-8293
Phone (770) 222-7555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58-2659125 | Other | GA | FEDERAL TAX ID |
| 198-09-00-VL | Other | GA | GEORGIA STATE TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2538 Cedarcrest Rd
Suite 113
Acworth, GA 30101-2727
Phone (770) 222-7555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6046 | GA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hiram Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
2538 Cedarcrest Rd
Ste 113
Acworth, GA 30101
Phone (770) 222-7555
4484 Jimmy Lee Smith Pkwy
Ste F201
Hiram, GA 30141
Phone (770) 222-7555
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.
-
- Chiropractor
- Hiram, GA
- NPI 1851578207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1225127855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2538 CEDARCREST RD",
"address_2": "STE. 113",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301018293",
"telephone_number": "770-222-7555",
"fax_number": "770-222-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2538 CEDARCREST RD",
"address_2": "STE. 113",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301018293",
"telephone_number": "770-222-7555",
"fax_number": "770-222-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROSS",
"first_name": "DOUGLAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "6046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "58-2659125",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA STATE TAX ID",
"identifier": "198-09-00-VL",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.