Great South Management LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1168 Issued in LA

Legal business name

GREAT SOUTH MANAGEMENT LLC

Doing business as

DeRidder Chiropractic

Practice address

1606 N Pine St
Deridder, LA 70634-2420

Phone

(337) 462-3055

Fax

(337) 462-0741

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Robert Johnson, D.C.NPI 1831137157

Title

Chiropractor

Phone

(337) 462-3055

Specialties & licenses 1

Addresses

Other names 1

• DeRidder Chiropractic Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Robert Johnson, D.C.

  • Chiropractor
  • Leesville, LA
  • NPI 1831137157
  NPD (past) Authorized official
• Erik Lewis Bailey, D.C.

  • Chiropractor
  • Deridder, LA
  • NPI 1548492010
  NPD (past)
• Holly R Guidry, D.C.

  • Chiropractor
  • Deridder, LA
  • NPI 1871733964
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1366470114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 N PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706342420",
            "telephone_number": "337-462-3055",
            "fax_number": "337-462-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 N PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706342420",
            "telephone_number": "337-462-3055",
            "fax_number": "337-462-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SOUTH MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "337-462-3055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeRidder Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harry H Goodwin Jr., DDS
• Nancy Grade, LPC
• Austin Granger
• Christopher Lee Granger, MD
• Sarah Gray
• Warren Walter Gremmel Jr., MD
• Holly R Guidry, D.C.
• Guillermo Family Medical Clinic, LLC
• Sandra Joy Hamilton, LMT
• Jessamy Hanchey

• Chiropractor in Deridder, LA
• Providers in Deridder, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.