Todd F Kelleher DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR005698 Issued in GA

Legal business name

TODD F KELLEHER DC PC

Practice address

4292 Gray Hwy
Gray, GA 31032-5900

Phone

(478) 986-6444

Fax

(478) 986-1254

NPI assigned

May 7, 2007

Last updated

Mar 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Todd F Kelleher, D.C.NPI 1184845067

Title

Owner Doctor

Phone

(478) 986-6444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Todd F Kelleher, D . C.

  • Chiropractor
  • Gray, GA
  • NPI 1184845067
  Medicare reassignment NPD Authorized official
• Jay Cranford, DC

  • Chiropractor
  • Macon, GA
  • NPI 1760569446
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1497968739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2320",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310322320",
            "telephone_number": "478-986-6444",
            "fax_number": "478-986-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4292 GRAY HWY",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310325900",
            "telephone_number": "478-986-6444",
            "fax_number": "478-986-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD F KELLEHER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "KELLEHER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "478-986-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.