Organization Active NPI

First Choice Chiropractic

Doing business as Jarred Colegrove

  • Chiropractor
  • Gainesville, GA
National Provider Identifier
1508242371
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007628 Issued in GA
Legal business name
FIRST CHOICE CHIROPRACTIC
Doing business as
Jarred Colegrove
Practice address
1335 Juanita Ave
Gainesville, GA 30501-1725
Phone
(770) 535-0550
Fax
(770) 535-1007
NPI assigned
Aug 4, 2015
Last updated
Aug 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Dr. Jarred Ryan Colegrove, D.C.NPI 1912908286
Title
Doctor
Phone
(770) 535-0550

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 CHIR007628 GA Primary

Addresses

Primary practice location

1335 Juanita Ave
Gainesville, GA 30501-1725

Mailing address

1335 Juanita Ave
Gainesville, GA 30501-1725
Phone (770) 535-0550

Other identifiers 2

IdentifierTypeStateIssuer
11303748OtherGACAQH
202I358966OtherGAMEDICARE PTAN

Other names 1

  • Jarred Colegrove Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150917000572 GA Part B Supplier - Clinic/Group Practice 7315254794 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, GA

National Provider Directory

National Provider Directory

Locations

1335 Juanita Ave
Gainesville, GA 30501
Phone (770) 535-0550

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1508242371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 JUANITA AVE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011725",
            "telephone_number": "770-535-0550",
            "fax_number": "770-535-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 JUANITA AVE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011725",
            "telephone_number": "770-535-0550",
            "fax_number": "770-535-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "COLEGROVE",
        "authorized_official_first_name": "JARRED",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "770-535-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11303748",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I358966",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jarred Colegrove",
            "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 Aug 4, 2015; 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.