Commerce Spinal Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08649 Issued in GA

Legal business name

COMMERCE SPINAL CENTER, PC

Doing business as

Braselton Chiropractic Center

Practice address

6323 Grand Hickory Dr
Suite 300B
Braselton, GA 30517-6272

Phone

(470) 238-3456

Fax

(470) 238-3455

NPI assigned

Apr 16, 2015

Last updated

Apr 16, 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

Ms. Dedra Leann Dawley

Title

Office Manager

Phone

(470) 238-3456

Specialties & licenses 1

Addresses

Other names 1

• Braselton Chiropractic Center Doing business as

Tax ID family

Braselton Chiropractic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Commerce Spinal Center,P.C.

  • Chiropractor
  • Commerce, GA
  • NPI 1942309414
  NPD tax ID

Locations

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.

• Kenneth Lee Flint, D.C.

  • Chiropractor
  • Commerce, GA
  • NPI 1013014075
  NPD

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1437546538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 GRAND HICKORY DR",
            "address_2": "SUITE 300B",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176272",
            "telephone_number": "470-238-3456",
            "fax_number": "470-238-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 GRAND HICKORY DR",
            "address_2": "SUITE 300B",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176272",
            "telephone_number": "470-238-3456",
            "fax_number": "470-238-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMERCE SPINAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "DAWLEY",
        "authorized_official_first_name": "DEDRA",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "470-238-3456",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "08649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braselton Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George K Cleland
• Joy Jones Cleveland, PT
• Sylvia Alberta Collier, NP-C
• Kimberley Canupp Colluro, LPC
• Lindsey Rae Coltraine, LMFT
• Tram B Contreras, PA
• Melissa Cook
• Kerry Cooley, PT
• David Cooney, D.M.D.
• Jennifer Copper, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.