Stockbridge Family Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR004986 Issued in GA

Legal business name

STOCKBRIDGE FAMILY CHIROPRACTIC, INC.

Practice address

2101 Jonesboro Rd
McDonough, GA 30253-5915

Phone

(770) 914-0184

Fax

(770) 914-0185

NPI assigned

Oct 15, 2007

Last updated

Oct 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Mark Gerhardt, D.C.NPI 1801947544

Title

Ceo/Doctor

Phone

(770) 914-0184

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Mark Gerhardt, D.C.

  • Chiropractor
  • McDonough, GA
  • NPI 1801947544
  Medicare reassignment NPD Authorized official
• Stephanie Ann Rytel-Smith, D.C

  • Chiropractor
  • McDonough, GA
  • NPI 1033258611
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1346439411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JONESBORO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535915",
            "telephone_number": "770-914-0184",
            "fax_number": "770-914-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JONESBORO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535915",
            "telephone_number": "770-914-0184",
            "fax_number": "770-914-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKBRIDGE FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "GERHARDT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CEO/DOCTOR",
        "authorized_official_telephone_number": "770-914-0184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR004986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci Stephens
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• Gary Wayne Stewart, MD
• Ma-Ryan Stewart
• STH LLC
• Morgan T Stokes, PA
• Jodi Lee Stone, PT
• Storybook Pediatrics, P.C.
• Aaliyah Stoudemire
• Lashandra Stovall

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.