Active NPI
Jerome Lubbe, DC
- Neurology Chiropractor
- Marietta, GA
National Provider Identifier
1366890915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- CHIR009501
- Practice address
- 1950 Spectrum Cir SE
Suite B-200
Marietta, GA 30067-8479 - Phone
- (404) 334-7100
- NPI assigned
- May 24, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 13069 | TX | |
| Neurology Chiropractor | 111NN0400X | CHIR009501 | GA | Primary |
Addresses
Primary practice location
1950 Spectrum Cir SE
Suite B-200
Marietta, GA 30067-8479
Mailing address
1950 Spectrum Cir SE
Suite B-200
Marietta, GA 30067-8479
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
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009501 | GA | MD | Neurology Chiropractor |
| 13069 | TX | MD | Neurology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1366890915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 SPECTRUM CIR SE",
"address_2": "SUITE B-200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 SPECTRUM CIR SE",
"address_2": "SUITE B-200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678479",
"telephone_number": "404-334-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBBE",
"first_name": "JEROME",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-24",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "TX",
"license": "13069",
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "GA",
"license": "CHIR009501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.