Sugarloaf Spine & Rehab Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

038955 Issued in GA

Legal business name

SUGARLOAF SPINE & REHAB INC

Practice address

1180 McKendree Church Rd
Suite 202
Lawrenceville, GA 30043-5207

Phone

(770) 817-4445

Fax

(770) 817-0832

NPI assigned

Feb 17, 2011

Last updated

Mar 4, 2015By 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

Ross Carter, DCNPI 1871630749

Title

Owner

Phone

(770) 817-4445

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Ross Carter, D.C.

  • Chiropractor
  • Lawrenceville, GA
  • NPI 1871630749
  NPD (past) Authorized official

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1346547932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 MCKENDREE CHURCH RD",
            "address_2": "SUITE 202",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435207",
            "telephone_number": "770-817-4445",
            "fax_number": "770-962-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 MCKENDREE CHURCH RD",
            "address_2": "SUITE 202",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435207",
            "telephone_number": "770-817-4445",
            "fax_number": "770-817-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARLOAF SPINE & REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-817-4445",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "038955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sugarloaf Family Chiropractic, LLC
• Sugarloaf Hearing Aid Factory Outlet
• Sugarloaf Pediatrics, PC
• Sugarloaf Pharmacy Inc (Sugarloaf Pharmacy)
• Sugarloaf Pkwy Pharmacy Inc. (Sugarloaf Parkway Pharmacy Inc.)
• Sugarloaf Vision Center LLC
• Neeta Dattoba Sukthanker, MD
• Alana Corwin Sulka, MPH,RN,CPH,CIC
• Beth Ann Sullivan, DO
• Eva Lukkonen Sullivan, MM MA CCC-SLP

• Internal Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.