Individual provider Active NPI

Lori A Okun, D.C.

  • Chiropractor
  • Union City, GA
National Provider Identifier
1255469995
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR002851 Issued in GA
Practice address
6703 Shannon Pkwy
13-14
Union City, GA 30291-2073
Phone
(770) 964-3334
Fax
(770) 306-2680
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR002851 GA Primary

Addresses

Primary practice location

6703 Shannon Pkwy
13-14
Union City, GA 30291-2073

Mailing address

6703 Shannon Pkwy
Ste 13-14
Union City, GA 30291-2073
Phone (770) 964-3334

Other identifiers 1

IdentifierTypeStateIssuer
58-2155004OtherGATAX ID

Other names 1

  • Dr. Lori A Pokrassa Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120213000520 GA Practitioner - Chiropractic 2567629991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Okun, PCGroup PAC ID 7113184383, 2 clinicians

Practice addresses (Care Compare)

6703 Shannon
Suite 14
Union City, GA 30291-2073
Phone (770) 964-3334

6703 Shannon Pkwy
Suite 13 14
Union City, GA 30291-2073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR002851GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Okun, PC Chiropractor CurrentSince Jan 1, 2012 Accepting new patients

Locations

6703 Shannon Pkwy
Ste 1314
Union City, GA 30291
Phone (770) 964-3334

6703 Shannon Pkwy
#1314
Union City, GA 30291
Phone (770) 964-3334

6703 Shannon Pkwy
Ste 14
Union City, GA 30291
Phone (770) 964-3334

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1255469995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6703 SHANNON PKWY",
            "address_2": "STE 13-14",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912073",
            "telephone_number": "770-964-3334",
            "fax_number": "770-306-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 SHANNON PKWY",
            "address_2": "13-14",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912073",
            "telephone_number": "770-964-3334",
            "fax_number": "770-306-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUN",
        "first_name": "LORI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "58-2155004",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "POKRASSA",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Union City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.