Organization Active NPI

Foothills Management LLC

Doing business as Foothills Chiropractic

  • Chiropractor
  • Marble Hill, GA
National Provider Identifier
1386051084
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009329 Issued in GA
Legal business name
FOOTHILLS MANAGEMENT LLC
Doing business as
Foothills Chiropractic
Practice address
25 Foothills Pkwy
Suite 103
Marble Hill, GA 30148-2261
Phone
(770) 894-4950
Fax
(770) 894-4951
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Ravi Karan, D.C.NPI 1912311515
Title
Manager
Phone
(770) 894-4950

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 CHIR009329 GA Primary

Addresses

Primary practice location

25 Foothills Pkwy
Suite 103
Marble Hill, GA 30148-2261

Mailing address

25 Foothills Pkwy
Suite 103
Marble Hill, GA 30148-2261
Phone (770) 894-4950

Other names 1

  • Foothills Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140927000537 GA Part B Supplier - Clinic/Group Practice 8426278359 Receives reassigned benefits from 1 practitioner
Practice locations: Marble Hill, GA

National Provider Directory

National Provider Directory

Locations

25 Foothills Pkwy
Ste 103
Marble Hill, GA 30148
Phone (770) 894-4950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1386051084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FOOTHILLS PKWY",
            "address_2": "SUITE 103",
            "city": "MARBLE HILL",
            "state": "GA",
            "postal_code": "301482261",
            "telephone_number": "770-894-4950",
            "fax_number": "770-894-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FOOTHILLS PKWY",
            "address_2": "SUITE 103",
            "city": "MARBLE HILL",
            "state": "GA",
            "postal_code": "301482261",
            "telephone_number": "770-894-4950",
            "fax_number": "770-894-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "KARAN",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-894-4950",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marble Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.