Active NPI
First Choice Family Chiropractic Center of Dublin LLC
- Primary Care Clinic/Center
- Dublin, GA
National Provider Identifier
1255585022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- CHIR008397
- Legal business name
- FIRST CHOICE FAMILY CHIROPRACTIC CENTER OF DUBLIN LLC
- Practice address
- 911 N Jefferson St
Dublin, GA 31021-6330 - Phone
- (478) 272-1800
- Fax
- (478) 274-1883
- NPI assigned
- Nov 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Brian Stratford, D.C.
- Title
- Owner
- Phone
- (478) 272-1800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | CHIR008397 | GA | Primary |
Addresses
Primary practice location
911 N Jefferson St
Dublin, GA 31021-6330
Mailing address
1101L Hillcrest Pkwy # Pmb111
Dublin, GA 31021-3555
Phone (478) 272-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090105000324 | GA | Part B Supplier - Clinic/Group Practice | 2961564752 | Practice locations: Dublin, GA |
National Provider Directory
National Provider DirectoryLocations
1102 N Jefferson St
Dublin, GA 31021
Phone (478) 272-1800
911 N Jefferson St
Dublin, GA 31021
Phone (478) 272-1800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225929600000",
"number": "1255585022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101L HILLCREST PKWY # PMB111",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310213555",
"telephone_number": "478-272-1800",
"fax_number": "478-274-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 N JEFFERSON ST",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310216330",
"telephone_number": "478-272-1800",
"fax_number": "478-274-1883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CHOICE FAMILY CHIROPRACTIC CENTER OF DUBLIN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-06",
"last_updated": "2008-11-06",
"status": "A",
"authorized_official_last_name": "STRATFORD",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-272-1800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "GA",
"license": "CHIR008397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.