Organization Active NPI

Robert a Schroter DC PC

  • Chiropractor
  • Blairsville, GA
National Provider Identifier
1306027610
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2798 Issued in GA
Legal business name
ROBERT A SCHROTER DC PC
Practice address
637 Deep South Farm Rd
Blairsville, GA 30512-2276
Phone
(706) 745-4140
Fax
(706) 745-1822
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Mr. Robert A Schroter, DCNPI 1639208713
Title
Chiropractor
Phone
(706) 745-4140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2798 GA Primary

Addresses

Primary practice location

637 Deep South Farm Rd
Blairsville, GA 30512-2276

Mailing address

637 Deep South Farm Rd
Blairsville, GA 30512-2276
Phone (706) 745-4140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050916000511 GA Part B Supplier - Clinic/Group Practice 6103859400 Receives reassigned benefits from 2 practitioners
Practice locations: Blairsville, GA

National Provider Directory

National Provider Directory

Locations

108 Blue Ridge Hwy
Ste 12
Blairsville, GA 30512
Phone (706) 745-4140

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1306027610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 DEEP SOUTH FARM RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122276",
            "telephone_number": "706-745-4140",
            "fax_number": "706-745-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 DEEP SOUTH FARM RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122276",
            "telephone_number": "706-745-4140",
            "fax_number": "706-745-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A SCHROTER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "SCHROTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "706-745-4140",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.