Grexa Enterprises LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR005316 Issued in GA

Legal business name

GREXA ENTERPRISES LLC

Doing business as

Grexa Chiropractic & Structural Wellness

Practice address

1750 Marietta Hwy Ste 140
Canton, GA 30114-3994

Phone

(770) 213-7602

Fax

(770) 213-7604

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Mitchell D Grexa, DC

Title

President

Phone

(770) 213-7602

Specialties & licenses 1

Addresses

Other names 1

• Grexa Chiropractic & Structural Wellness Doing business as

Locations

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1497174791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 LAKE PARK BND",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016886",
            "telephone_number": "404-375-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 MARIETTA HWY STE 140",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143994",
            "telephone_number": "770-213-7602",
            "fax_number": "770-213-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREXA ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "GREXA",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-213-7602",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grexa Chiropractic & Structural Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greene Life Health, LLC
• Angela Dawn Greene, NP-C
• Brent Greene, DC
• Morgan Greene, DC
• Greg Elwell, D.M.D., P.C.
• Mitchell Grexa, D.C.
• Susan F Griggs, CNM
• Amanda Griner, PHARMD
• Peyton Lee Groff, PH.D.
• Jeremy Michael Gronau, MA, GCCA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.