NPIMap

Organization Active NPI

Gorman Chiropractic Life Center

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1497063804
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007698 Issued in GA
Legal business name
GORMAN CHIROPRACTIC LIFE CENTER
Practice address
593 Atlanta St
Roswell, GA 30075-4454
Phone
(770) 993-8888
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Sharon Ray Gorman, DC
Title
Owner
Phone
(770) 993-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR007698 GA Primary

Addresses

Primary practice location

593 Atlanta St
Roswell, GA 30075-4454

Mailing address

593 Atlanta St
Roswell, GA 30075-4454
Phone (770) 993-8888

National Provider Directory

National Provider Directory

Locations

593 Atlanta St
Roswell, GA 30075
Phone (770) 993-8888

Practitioners & affiliated clinicians

Practitioners 3

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": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1497063804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 ATLANTA ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754454",
            "telephone_number": "770-993-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 ATLANTA ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754454",
            "telephone_number": "770-993-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORMAN CHIROPRACTIC LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-993-8888",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007698",
            "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 Sep 20, 2010; 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.