Individual provider Active NPI

Jason David McRae, DC

  • Chiropractor
  • Martinez, GA
National Provider Identifier
1306932298
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR007716 Issued in GA
Practice address
4210 Columbia Rd Ste 5a
Martinez, GA 30907-0453
Phone
(706) 869-7474
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR007716 GA Primary

Addresses

Primary practice location

4210 Columbia Rd Ste 5a
Martinez, GA 30907-0453

Mailing address

4210 Columbia Rd Ste 5a
Martinez, GA 30907-0453
Phone (706) 869-7474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061214000039 GA Practitioner - Chiropractic 5193724458 Reassigns benefits to 1 organization
Practice locations: Martinez, GA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pray Chiropractic PCGroup PAC ID 9032358338, 3 clinicians

Practice addresses (Care Compare)

5721 Battlefield Pkwy
Ringgold, GA 30736-5154
Phone (706) 935-7729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR007716GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pray Chiropractic P.C. Chiropractor CurrentSince Jan 18, 2016 Accepting new patients
Pray Chiropractic PC Chiropractor PastSince Jan 18, 2016 Accepting new patients
Walker Chiropractic LLC Chiropractor PastSince Sep 4, 2018 Accepting new patients

Locations

715 S Thornton Ave
Dalton, GA 30720
Phone (706) 609-0023

5721 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 835-7729

Organizations & group practices 3

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1306932298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 COLUMBIA RD STE 5A",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070453",
            "telephone_number": "706-869-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 COLUMBIA RD STE 5A",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070453",
            "telephone_number": "706-869-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "JASON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHR007716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.