Individual provider Active NPI

Frank J Bostic

  • Chiropractor
  • Peachtree City, GA
National Provider Identifier
1346966496
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010884 Issued in GA
Practice address
2836 Highway 54
Peachtree City, GA 30269-1026
Phone
(770) 876-2229
Fax
(678) 961-5705
NPI assigned
Oct 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010884 GA Primary

Addresses

Primary practice location

2836 Highway 54
Peachtree City, GA 30269-1026

Mailing address

160 Paddle CT
Peachtree City, GA 30269-4804
Phone (770) 298-7015

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010884GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Spine Center CurrentSince Oct 23, 2022 Accepting new patients

Locations

2836 Highway 54
Peachtree Cty, GA 30269
Phone (678) 423-2865

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": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1346966496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PADDLE CT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694804",
            "telephone_number": "770-298-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 HIGHWAY 54",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691026",
            "telephone_number": "770-876-2229",
            "fax_number": "678-961-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "FRANK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.