Active NPI
John Rodney Justice, D.C.
- Chiropractor
- Fayetteville, GA
National Provider Identifier
1275677544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1438
- Practice address
- 1999 Highway 54 W
Fayetteville, GA 30214-4747 - Phone
- (770) 487-5600
- Fax
- (770) 487-4911
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1438 | GA | Primary |
Addresses
Primary practice location
1999 Highway 54 W
Fayetteville, GA 30214-4747
Mailing address
PO Box 2353
Peachtree City, GA 30269-0353
Phone (770) 487-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1438 | GA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Quest Wellness Cottonwood LLC | Current | Accepting new patients | |
| Peachtree City Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
9664 Eagle Ranch Rd NW
Ste A1
Albuquerque, NM 87114
Phone (505) 890-9335
Organizations & group practices 2
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.
-
- Clinic/Center
- Albuquerque, NM
- NPI 1033547302
-
- Chiropractor
- Peachtree City, GA
- NPI 1669665030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275677544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2353",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302690353",
"telephone_number": "770-487-5600",
"fax_number": "770-487-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 HIGHWAY 54 W",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144747",
"telephone_number": "770-487-5600",
"fax_number": "770-487-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "JOHN",
"middle_name": "RODNEY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "1438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.