Paulk Chiropractic Clinic Stockbridge LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR001074 Issued in GA

Legal business name

PAULK CHIROPRACTIC CLINIC STOCKBRIDGE LLC

Practice address

9905 N Davidson Pkwy
Suite 107
Stockbridge, GA 30281-4200

Phone

(770) 474-1421

NPI assigned

Mar 12, 2009

Organization subpart

No

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

Authorized official

Name

Georg P Paulk, DC

Title

Manager

Phone

(770) 474-1421

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Phillip Paulk, DC

  • Chiropractor
  • Stockbridge, GA
  • NPI 1699870238
  Medicare reassignment NPD

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1275774770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 N DAVIDSON PKWY",
            "address_2": "SUITE 107",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814200",
            "telephone_number": "770-474-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 N DAVIDSON PKWY",
            "address_2": "SUITE 107",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814200",
            "telephone_number": "770-474-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULK CHIROPRACTIC CLINIC STOCKBRIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "PAULK",
        "authorized_official_first_name": "GEORG",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-474-1421",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR001074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keval A Patel, MD
• Nikita Harish Patel, ARNP
• Pruthu P Patel, MD
• Linda A Patrick, RN
• Keisha Patterson, OTD, OTR/L
• Paulk Chiropractic Stockbridge,Inc
• Paulk Chiropractic-McDonough Inc.
• Paulk Chiropractic-Stockbridge Inc.
• George Phillip Paulk, DC
• Tina Baker Paulk, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.