Performance Care Group Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007408 Issued in GA

Legal business name

PERFORMANCE CARE GROUP INC

Doing business as

Stover Sports Injury & Wellness

Practice address

530 Tribble Gap Rd
Cumming, GA 30040-2226

Phone

(678) 513-1450

Fax

(678) 513-6120

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Craig Stover, DC

Title

President

Phone

(678) 513-1450

Specialties & licenses 1

Addresses

Other names 1

• Stover Sports Injury & Wellness Doing business as

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1265641690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2997",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286513",
            "telephone_number": "678-513-1450",
            "fax_number": "678-513-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 TRIBBLE GAP RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402226",
            "telephone_number": "678-513-1450",
            "fax_number": "678-513-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE CARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-513-1450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stover Sports Injury & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Penna, PHARMD
• Keith Bradley Pennycook, DO
• Maureen Penoyer
• Kyle B Pepple, D.C.
• Lisa Perez, CSA
• Daria Perlin
• Michael Perpall, DMD
• Dana Perreault, DPT
• Alexandra Perry, PT
• Angela Leigh Perry, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.