Organization Active NPI

Richard L. Gregg, D.C., P.C.

Doing business as Norcross Health & Physical Medicine

  • Clinic/Center
  • Norcross, GA
National Provider Identifier
1366680035
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CHIR004822 Issued in GA
Legal business name
RICHARD L. GREGG, D.C., P.C.
Doing business as
Norcross Health & Physical Medicine
Practice address
5180 Jimmy Carter Blvd
Norcross, GA 30093-1618
Phone
(770) 446-1555
Fax
(678) 646-1969
NPI assigned
Feb 3, 2009
Last updated
Feb 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Dr. Richard Lee Gregg, D.C.
Title
President
Phone
(770) 446-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CHIR004822 GA Primary

Addresses

Primary practice location

5180 Jimmy Carter Blvd
Norcross, GA 30093-1618

Mailing address

5180 Jimmy Carter Blvd
Norcross, GA 30093-1618
Phone (770) 446-1555

Other names 1

  • Norcross Health & Physical Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1366680035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 JIMMY CARTER BLVD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931618",
            "telephone_number": "770-446-1555",
            "fax_number": "678-646-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 JIMMY CARTER BLVD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931618",
            "telephone_number": "770-446-1555",
            "fax_number": "678-646-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. GREGG, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-446-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CHIR004822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norcross Health & Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.