Organization Active NPI

First Choice Family Chiropractic Center of Dublin LLC

  • Primary Care Clinic/Center
  • Dublin, GA
National Provider Identifier
1255585022
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
CHIR008397 Issued in GA
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

Updated by the provider on Nov 6, 2008

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20090105000324 GA Part B Supplier - Clinic/Group Practice 2961564752 Practice locations: Dublin, GA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.