George S Petryk, DC,DACNB,FACFN,FABES

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

CH8431 Issued in FL

Practice address

5485 Bethelview Rd Ste 360-333
Cumming, GA 30040-9735

Phone

(239) 482-0300

NPI assigned

Jul 13, 2005

Reactivated

Mar 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurodx Associates LLC

  • Neurology Chiropractor
  • Cumming, GA
  • NPI 1194093278
  NPD Authorized official
• Neuro Edx, LLC

  • Electrodiagnostic Medicine Physician
  • Royal Oak, MI
  • NPI 1407347743
  NPD Authorized official
• Salus Orthopedic & Spine LLC

  • Surgery Physician
  • Fort Myers, FL
  • NPI 1992112577

  Neurology

  NPD (past) Authorized official

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1477551430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5485 BETHELVIEW RD STE 360-333",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409735",
            "telephone_number": "239-482-0300",
            "fax_number": "239-482-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5485 BETHELVIEW RD STE 360-333",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409735",
            "telephone_number": "239-482-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15880 Summerlin Rd Ste 300-106",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339089612",
            "country_code": "US",
            "telephone_number": "239-482-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRYK",
        "first_name": "GEORGE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC,DACNB,FACFN,FABES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH8431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Peterson-Eichhorn, M.A., CCC-SLP
• Jessica Lynn Peterson
• Isabel Petree
• Jason Alexander Petrofski, MD
• Kristen Petros, DPT
• James Michael Petway, M.D., F.C.C.P.
• Brittany Petz
• Allison B Phad, CCC-SLP
• Belinda Ho Phan, DMD
• Lora Ann Pharis, OT

• Neurology Chiropractor in Cumming, GA
• Providers in Cumming, GA by specialty
• Neurology Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.