Tara Chiropractic Care Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR006958 Issued in GA

Legal business name

TARA CHIROPRACTIC CARE CENTER, LLC

Practice address

809 Flint River Rd Ste 4
Jonesboro, GA 30238-4342

Phone

(770) 478-6040

Fax

(770) 478-6061

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Caryn Ann Grzesiakowski, D.C.NPI 1205050259

Title

Chiropractor Owner

Phone

(770) 478-6040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caryn Ann Grzesiakowski, DC

  • Chiropractor
  • Jonesboro, GA
  • NPI 1205050259
  Medicare reassignment NPD Authorized official
• Beth J Dubois, D.C.

  • Orthopedic Chiropractor
  • Oswego, NY
  • NPI 1073604450
  NPD (past)
• Lorraine Ficocelli, DC

  • Chiropractor
  • Lancaster, OH
  • NPI 1013935907
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497970024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1378",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302146378",
            "telephone_number": "770-478-6040",
            "fax_number": "770-478-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 FLINT RIVER RD STE 4",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384342",
            "telephone_number": "770-478-6040",
            "fax_number": "770-478-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA CHIROPRACTIC CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRZESIAKOWSKI",
        "authorized_official_first_name": "CARYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "770-478-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolen Tabor
• Arturo Taladriz, MD
• Rynna Jayne Tan, PT
• Minh Lam Tang, PAA
• Evelyn Lema Tankoh, MRN, APRN, AGNP-BC
• Tarr Personal Care Home LLC.
• Ronasha Tate
• Yulonda Tate, CSA
• Benjamin Allen Taylor Jr., DMD
• Bridgette Taylor, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.