Individual provider Active NPI

Donna Anne Corre-Sullivan, D.C.

  • Chiropractor
  • Murrayville, GA
National Provider Identifier
1275683153
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR001496 Issued in GA
Practice address
326 Starbridge Rd
Murrayville, GA 30564-2817
Phone
(706) 864-0882
Fax
(706) 867-7969
NPI assigned
Jan 11, 2007
Last updated
Jan 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR001496 GA Primary

Addresses

Primary practice location

326 Starbridge Rd
Murrayville, GA 30564-2817

Mailing address

326 Starbridge Rd
Murrayville, GA 30564-2817
Phone (706) 864-0882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR001496GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Starbridge Chiropractic, Inc. Chiropractor CurrentSince Mar 15, 1996 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1275683153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 STARBRIDGE RD",
            "city": "MURRAYVILLE",
            "state": "GA",
            "postal_code": "305642817",
            "telephone_number": "706-864-0882",
            "fax_number": "706-867-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 STARBRIDGE RD",
            "city": "MURRAYVILLE",
            "state": "GA",
            "postal_code": "305642817",
            "telephone_number": "706-864-0882",
            "fax_number": "706-867-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRE-SULLIVAN",
        "first_name": "DONNA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR001496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrayville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.