Greg C Graham, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008226 Issued in GA

Practice address

905 Juniper St NE
#108
Atlanta, GA 30309-4128

Phone

(404) 870-0109

Fax

(404) 870-0108

NPI assigned

Sep 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Emanate Wellness Chiropractic, PC

  • Health Service Clinic/Center
  • Atlanta, GA
  • NPI 1700432465
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1235325945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 JUNIPER ST NE",
            "address_2": "#108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094128",
            "telephone_number": "404-870-0109",
            "fax_number": "404-870-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 JUNIPER ST NE",
            "address_2": "#108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094128",
            "telephone_number": "404-870-0109",
            "fax_number": "404-870-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "GREG",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Graham, NCC
• Casey Anne Graham
• Catherine Graham
• Charisse Graham, M.D.
• Douglas Graham, MD, PHD
• Jaedyn Graham, CCC-SLP
• Jannie Graham, SLP
• Jenee D Graham
• Jerry Alan Graham, PH.D.
• John Allan Graham, M.DIV., TH.M., LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.