Active NPI
Todd Jackson Gibson, DC
- Chiropractor
- Atlanta, GA
National Provider Identifier
1275966616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007906
- Practice address
- 229 Peachtree St NE
#01
Atlanta, GA 30303-1601 - Phone
- (404) 522-5552
- Fax
- (404) 522-5151
- NPI assigned
- Aug 20, 2013
- Sex
- Male
- Sole proprietor
- No
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 | CHIR007906 | GA | Primary |
Addresses
Primary practice location
229 Peachtree St NE
#01
Atlanta, GA 30303-1601
Mailing address
229 Peachtree St
Suite a-01
Atlanta, GA 30303
Phone (404) 522-5552
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR007906 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1275966616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 PEACHTREE ST",
"address_2": "SUITE A-01",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303",
"telephone_number": "404-522-5552",
"fax_number": "404-522-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 PEACHTREE ST NE",
"address_2": "#01",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303031601",
"telephone_number": "404-522-5552",
"fax_number": "404-522-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "TODD",
"middle_name": "JACKSON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-20",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.