Individual provider Active NPI

Greg Kyuhee Choi, D.C.

  • Chiropractor
  • Suwanee, GA
National Provider Identifier
1295708030
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010700 Issued in GA
Practice address
1325 Satellite Blvd NW Ste 306
Suwanee, GA 30024-4651
Phone
(770) 863-7233
Fax
(503) 419-6068
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3630 OR
Chiropractor 111N00000X CHIR010700 GA Primary

Addresses

Primary practice location

1325 Satellite Blvd NW Ste 306
Suwanee, GA 30024-4651

Mailing address

1325 Satellite Blvd NW Ste 306
Suwanee, GA 30024-4651
Phone (770) 863-7233

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
CHIR010700GAMDChiropractor
3630ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fahma Health and Wellness Center LLC Chiropractor CurrentSince Oct 16, 2022 Accepting new patients

Locations

3801 SW Hall Blvd
Beaverton, OR 97005
Phone (503) 601-0056

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1295708030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW STE 306",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244651",
            "telephone_number": "770-863-7233",
            "fax_number": "503-419-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW STE 306",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244651",
            "telephone_number": "770-863-7233",
            "fax_number": "503-419-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "GREG",
        "middle_name": "KYUHEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3630",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.