Organization Active NPI

Lifegiving Chiropractic Suwanee LLC

  • Chiropractor
  • Suwanee, GA
National Provider Identifier
1497466957
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIFEGIVING CHIROPRACTIC SUWANEE LLC
Practice address
1300 Peachtree Industrial Blvd Ste 3110
Suwanee, GA 30024-4544
Phone
(787) 432-3986
Fax
(770) 943-1452
NPI assigned
Dec 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Dr. Graciela Maria Carrau-Hernandez, DCNPI 1962112490
Title
Office Doctor
Phone
(787) 432-3986

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

1300 Peachtree Industrial Blvd Ste 3110
Suwanee, GA 30024-4544

Mailing address

1324 Glen Cedars Dr
Mableton, GA 30126-7607
Phone (787) 432-3986

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230328003139 GA Part B Supplier - Clinic/Group Practice 8224402516 Receives reassigned benefits from 1 practitioner
Practice locations: Suwanee, GA

National Provider Directory

National Provider Directory

Locations

1300 Peachtree Industrial Blvd
Ste 3110
Suwanee, GA 30024
Phone (470) 266-1577

Practitioners & affiliated clinicians

Practitioners 4

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": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1497466957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 GLEN CEDARS DR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267607",
            "telephone_number": "787-432-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 3110",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244544",
            "telephone_number": "787-432-3986",
            "fax_number": "770-943-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGIVING CHIROPRACTIC SUWANEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "CARRAU-HERNANDEZ",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE DOCTOR",
        "authorized_official_telephone_number": "787-432-3986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.