Organization Active NPI

Carroll Chiropractic Clinic, P. C.

  • Clinic/Center
  • Albany, GA
National Provider Identifier
1396085312
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CARROLL CHIROPRACTIC CLINIC, P. C.
Practice address
1108 Whispering Pines Rd
Albany, GA 31707-3542
Phone
(229) 432-5617
Fax
(229) 883-0108
NPI assigned
Feb 28, 2013
Last updated
Feb 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Dr. James Michael Carroll, D.C.NPI 1578665246
Title
President
Phone
(229) 432-5617

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1108 Whispering Pines Rd
Albany, GA 31707-3542

Mailing address

2021 N Slappey Blvd
PMB 143
Albany, GA 31701-1001
Phone (229) 432-5617

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130802000337 GA Part B Supplier - Clinic/Group Practice 4789825720 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, GA

National Provider Directory

National Provider Directory

Locations

1108 Whispering Pines Rd
Albany, GA 31707
Phone (229) 432-5617

Practitioners & affiliated clinicians

Practitioners 2

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": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1396085312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N SLAPPEY BLVD",
            "address_2": "PMB 143",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011001",
            "telephone_number": "229-432-5617",
            "fax_number": "229-883-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 WHISPERING PINES RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073542",
            "telephone_number": "229-432-5617",
            "fax_number": "229-883-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL CHIROPRACTIC CLINIC, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-432-5617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.