Cornerstone Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO08040 Issued in GA

Legal business name

CORNERSTONE CHIROPRACTIC PC

Practice address

5886 Wendy Bagwell Pkwy
Ste 301
Hiram, GA 30141

Phone

(770) 439-7765

NPI assigned

Sep 20, 2006

Last updated

Apr 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Victor Roberts, D.C.NPI 1598862963

Title

President

Phone

(770) 439-7765

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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.

• Daniel Victor Roberts, D.C.

  • Chiropractor
  • Hiram, GA
  • NPI 1598862963
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Laurenzi, D.C.

  • Chiropractor
  • Hiram, GA
  • NPI 1376954826
  Medicare reassignment Care Compare group NPD
• Jared Matthew Key, D.C.

  • Chiropractor
  • Port Saint Lucie, FL
  • NPI 1306941059
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1386741759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5886 WENDY BAGWELL PKWY",
            "address_2": "STE 301",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "30141",
            "telephone_number": "770-439-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5886 WENDY BAGWELL PKWY",
            "address_2": "STE 301",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "30141",
            "telephone_number": "770-439-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-439-7765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO08040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elizabeth Collins, FNP-C
• Complete Display Systems, Inc. (Comfort Keepers)
• Benjamin David Conner, D.C.
• Tiffany Copeland, RPSGT
• Nicholas Corneillie, OD
• Counseling, Hypnotherapy, and Life Coaching Services of Hiram
• Covered N Confidence
• Lyndy Croft
• Keirra Shequanna Cromer-Ellis, NUTRITIONIST
• CSRP Integrative Psychiatry Limited Liability Company

• Chiropractor in Hiram, GA
• Providers in Hiram, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.