Active NPI
Kellie Cherie Baxter, D.C.
- Rehabilitation Chiropractor
- Woodstock, GA
National Provider Identifier
1477628162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CHIR007723
- Practice address
- 6875 Hickory Rd
Suite 110
Woodstock, GA 30188-2011 - Phone
- (770) 345-1111
- Fax
- (770) 345-1788
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CHIR007723 | GA | Primary |
Addresses
Primary practice location
6875 Hickory Rd
Suite 110
Woodstock, GA 30188-2011
Mailing address
6875 Hickory Rd
Suite 110
Woodstock, GA 30188-2011
Phone (770) 345-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR007723 | GA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477628162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6875 HICKORY RD",
"address_2": "SUITE 110",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301882011",
"telephone_number": "770-345-1111",
"fax_number": "770-345-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6875 HICKORY RD",
"address_2": "SUITE 110",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301882011",
"telephone_number": "770-345-1111",
"fax_number": "770-345-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXTER",
"first_name": "KELLIE",
"middle_name": "CHERIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "CHIR007723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.