Individual provider Active NPI

Kristin Ribley, D.C

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1497892079
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6126 Issued in GA
Practice address
1085 Buckhead Xing Ste 130
Woodstock, GA 30189-4261
Phone
(770) 592-2505
Fax
(770) 592-2433
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6126 GA Primary

Addresses

Primary practice location

1085 Buckhead Xing Ste 130
Woodstock, GA 30189-4261

Mailing address

1085 Buckhead Xing Ste 130
Woodstock, GA 30189-4261
Phone (770) 592-2505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090309000310 GA Practitioner - Chiropractic 2961568456 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6126GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ribley Family Chiropractic Chiropractor CurrentSince Jul 11, 2001 Accepting new patients

Locations

1085 Buckhead Xing
Ste 130
Woodstock, GA 30189
Phone (770) 592-2505

2453 Towne Lake Pkwy
Woodstock, GA 30189
Phone (770) 592-2504

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497892079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 BUCKHEAD XING STE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894261",
            "telephone_number": "770-592-2505",
            "fax_number": "770-592-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 BUCKHEAD XING STE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894261",
            "telephone_number": "770-592-2505",
            "fax_number": "770-592-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBLEY",
        "first_name": "KRISTIN",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6126",
            "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.
  • 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.