Gregg Chiropractic Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR006078 Issued in GA

Legal business name

GREGG CHIROPRACTIC CENTER, INC.

Practice address

12910 Highway 92
Suite 108
Woodstock, GA 30188-4202

Phone

(678) 494-0320

Fax

(678) 494-0340

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian Glen Gregg, D.C.NPI 1871624478

Title

President

Phone

(678) 494-0320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Brian Glen Gregg, DC

  • Chiropractor
  • Woodstock, GA
  • NPI 1871624478
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1386826899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 HIGHWAY 92",
            "address_2": "SUITE 108",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884202",
            "telephone_number": "678-494-0320",
            "fax_number": "678-494-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12910 HIGHWAY 92",
            "address_2": "SUITE 108",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884202",
            "telephone_number": "678-494-0320",
            "fax_number": "678-494-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-494-0320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimber Gray, M.ED. CCC-SLP
• Theresa Gray, LMSW
• Brody Mitchell Green, LPTA
• Lana Danielle Greene, MA, LPC, NCC
• Haley Greenlee
• Brian Glen Gregg, DC
• Jackson Kelley Griffeth, DMD, MSD
• Amanda Rose Griffin
• Erin Johnson Grigsby, P.T.
• Grisham Associates LTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.