Organization Active NPI

Griffin Chiropractic Clinic, Inc.

  • Chiropractor
  • Gainesville, GA
National Provider Identifier
1508135401
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2451 Issued in GA
Legal business name
GRIFFIN CHIROPRACTIC CLINIC, INC.
Doing business as
Gainesville Chiropractic Center
Practice address
700 S Enota Dr NE
Suite 201
Gainesville, GA 30501-2403
Phone
(770) 532-4084
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Dr. Clifford Stanley Griffin Sr., D.C.NPI 1720145352
Title
Owner, President
Phone
(770) 532-4084

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 2451 GA Primary

Addresses

Primary practice location

700 S Enota Dr NE
Suite 201
Gainesville, GA 30501-2403

Mailing address

700 S Enota Dr NE
Suite 201
Gainesville, GA 30501-2403
Phone (770) 532-4084

Other identifiers 1

IdentifierTypeStateIssuer
35ZCBZLOtherGAMEDICARE PTAN

Other names 1

  • Gainesville Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120221000738 GA Part B Supplier - Clinic/Group Practice 4981862000 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, GA

National Provider Directory

National Provider Directory

Locations

700 S Enota Dr NE
Ste 201
Gainesville, GA 30501
Phone (770) 532-4084

810 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 532-4084

Practitioners & affiliated clinicians

Practitioners 1

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": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1508135401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S ENOTA DR NE",
            "address_2": "SUITE 201",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012403",
            "telephone_number": "770-532-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S ENOTA DR NE",
            "address_2": "SUITE 201",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012403",
            "telephone_number": "770-532-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFIN CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "770-532-4084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "35ZCBZL",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gainesville Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.