Organization Active NPI

North Georgia Spine Offices Inc

Doing business as North Georgia Spine Center

  • Chiropractor
  • Buford, GA
National Provider Identifier
1235214990
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6165 Issued in GA
Legal business name
NORTH GEORGIA SPINE OFFICES INC
Doing business as
North Georgia Spine Center
Practice address
1950 Buford Mill Drive
Suite E
Buford, GA 30519
Phone
(678) 541-2300
Fax
(678) 541-2301
NPI assigned
Oct 25, 2006
Last updated
Oct 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Dr. Alonzo Meisenzahl Borja, DCNPI 1023287125
Title
Ceo
Phone
(678) 541-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 6165 GA Primary

Addresses

Primary practice location

1950 Buford Mill Drive
Suite E
Buford, GA 30519

Mailing address

1950 Buford Mill Drive
Suite E
Buford, GA 30519
Phone (678) 541-2300

Other names 1

  • North Georgia Spine Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080610000119 GA Part B Supplier - Clinic/Group Practice 8325118847 Receives reassigned benefits from 1 practitioner
Practice locations: Buford, GA

National Provider Directory

National Provider Directory

Locations

1950 Buford Mill Dr
Ste E
Buford, GA 30519
Phone (678) 541-2300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1235214990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BUFORD MILL DRIVE",
            "address_2": "SUITE E",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "30519",
            "telephone_number": "678-541-2300",
            "fax_number": "678-541-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 BUFORD MILL DRIVE",
            "address_2": "SUITE E",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "30519",
            "telephone_number": "678-541-2300",
            "fax_number": "678-541-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA SPINE OFFICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "BORJA",
        "authorized_official_first_name": "ALONZO",
        "authorized_official_middle_name": "MEISENZAHL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-541-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Georgia Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.