Organization Active NPI

Gala Davis Family Chiropractic Center, P.C.

  • Chiropractor
  • Peachtree City, GA
National Provider Identifier
1467798124
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GALA DAVIS FAMILY CHIROPRACTIC CENTER, P.C.
Practice address
427 Highway 74 N
Peachtree City, GA 30269-1169
Phone
(770) 486-8777
Fax
(770) 486-0049
NPI assigned
Dec 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Dr. Gala Davis, D.C.NPI 1801981626
Title
Owner
Phone
(770) 486-8777

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 Primary

Addresses

Primary practice location

427 Highway 74 N
Peachtree City, GA 30269-1169

Mailing address

427 Highway 74 N
Peachtree City, GA 30269-1169
Phone (770) 486-8777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130417000319 GA Part B Supplier - Clinic/Group Practice 6002052065 Receives reassigned benefits from 1 practitioner
Practice locations: Peachtree City, GA

National Provider Directory

National Provider Directory

Locations

427 Highway 74 N
Peachtree City, GA 30269
Phone (770) 486-8777

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": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1467798124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 HIGHWAY 74 N",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691169",
            "telephone_number": "770-486-8777",
            "fax_number": "770-486-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 HIGHWAY 74 N",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691169",
            "telephone_number": "770-486-8777",
            "fax_number": "770-486-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALA DAVIS FAMILY CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-486-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.