Crossroads Spine and Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CROSSROADS SPINE AND WELLNESS

Practice address

5391 Highway 53 Ste 108
Braselton, GA 30517-3136

Phone

(706) 654-2400

Fax

(706) 654-2399

NPI assigned

Nov 7, 2019

Last updated

Nov 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Davis

Title

Practice Manager

Phone

(706) 654-2400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1235774803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5391 HIGHWAY 53 STE 108",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305173136",
            "telephone_number": "706-654-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5391 HIGHWAY 53 STE 108",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305173136",
            "telephone_number": "706-654-2400",
            "fax_number": "706-654-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS SPINE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "706-654-2400"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Crampton, LAT, ATC
• Hasco William Craver III, D.O.
• Lya Crichlow, MD
• Crossroads Chiropractic
• Crossroads Spine & Wellness,LLC
• Wesam Daker, PA-C
• Gary M Dalley, M.D.
• Zachary Daniell, PA
• Justin Michael Davidson, CRNA
• Kimberly Michel Davis, AGACNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.