Organization Active NPI

Brown/Watkins Chiropractic Clinic

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1427294149
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005282 Issued in GA
Legal business name
BROWN/WATKINS CHIROPRACTIC CLINIC
Practice address
500 Sun Valley Dr Ste F2
Roswell, GA 30076-5638
Phone
(770) 993-3930
Fax
(404) 551-5505
NPI assigned
Dec 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Dr. Franklin Rudolph Watkins Jr., D.C.NPI 1528278868
Title
Owner
Phone
(770) 993-3930

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 CHIR005282 GA Primary

Addresses

Primary practice location

500 Sun Valley Dr Ste F2
Roswell, GA 30076-5638

Mailing address

500 Sun Valley Dr Ste F2
Roswell, GA 30076-5638
Phone (770) 993-3930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090415000240 GA Part B Supplier - Clinic/Group Practice 7810044575 Receives reassigned benefits from 1 practitioner
Practice locations: Roswell, GA

National Provider Directory

National Provider Directory

Locations

500 Sun Valley Dr
Ste F2
Roswell, GA 30076
Phone (770) 993-3930

500 Sun Valley Dr
Ste F3
Roswell, GA 30076
Phone (770) 993-3930

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1427294149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUN VALLEY DR STE F2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765638",
            "telephone_number": "770-993-3930",
            "fax_number": "404-551-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUN VALLEY DR STE F2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765638",
            "telephone_number": "770-993-3930",
            "fax_number": "404-551-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN/WATKINS CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "RUDOLPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-993-3930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.