Individual provider Active NPI

George Macgregor Miller, DC

  • Chiropractor
  • Canton, GA
National Provider Identifier
1356366256
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2075 Issued in GA
Practice address
1030 Marietta Rd
Canton, GA 30114-3910
Phone
(770) 720-8668
Fax
(866) 281-9900
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1030 Marietta Rd
Canton, GA 30114-3910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100907000513 GA Practitioner - Chiropractic 6305960808 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2075GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Springs Chiropractic Clinic, Inc. Chiropractor CurrentSince Dec 16, 1989 Accepting new patients

Locations

1030 Marietta Rd
Canton, GA 30114
Phone (770) 720-8668

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2075 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

1030 Marietta Rd
Canton, GA 30114-3910

Mailing address

PO Box 1229
Canton, GA 30169-1229
Phone (770) 720-8668

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
58-1876251OtherGATAX ID#

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2010.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1356366256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1229",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301691229",
            "telephone_number": "770-720-8668",
            "fax_number": "866-281-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MARIETTA RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143910",
            "telephone_number": "770-720-8668",
            "fax_number": "866-281-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GEORGE",
        "middle_name": "MACGREGOR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "58-1876251",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.