Organization Active NPI

Peter G. Lazarnick, P.C.

  • Chiropractor
  • Carrollton, GA
National Provider Identifier
1366610503
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR001151 Issued in GA
Legal business name
PETER G. LAZARNICK, P.C.
Practice address
486 Bankhead Hwy
Carrollton, GA 30117-2445
Phone
(770) 834-7477
Fax
(770) 834-0251
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Dr. Peter Gary Lazarnick, D.C.NPI 1285794057
Title
President
Phone
(770) 834-7377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR001151 GA Primary

Addresses

Primary practice location

486 Bankhead Hwy
Carrollton, GA 30117-2445

Mailing address

40 Foggy Bottom Dr
Carrollton, GA 30116-8047
Phone (770) 834-7377

Other identifiers 1

IdentifierTypeStateIssuer
1C GRP7356OtherGAMEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

486 Bankhead Hwy
Carrollton, GA 30117
Phone (770) 834-7477

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1366610503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FOGGY BOTTOM DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301168047",
            "telephone_number": "770-834-7377",
            "fax_number": "770-834-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 BANKHEAD HWY",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172445",
            "telephone_number": "770-834-7477",
            "fax_number": "770-834-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER G. LAZARNICK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "LAZARNICK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-834-7377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR001151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "1C GRP7356",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.