Alicia Braddy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5138 Issued in NC

Practice address

102 Vincent Ave
Stockbridge, GA 30281-5049

Phone

(770) 506-4344

Fax

(770) 506-9414

NPI assigned

Nov 18, 2014

Last updated

Dec 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrity Health Options, PAGroup PAC ID 3375707813, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrity Health Options, PA

  • Chiropractor
  • Forest City, NC
  • NPI 1851472641
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1508262502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 WITHROW RD",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439695",
            "telephone_number": "828-245-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 VINCENT AVE",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815049",
            "telephone_number": "770-506-4344",
            "fax_number": "770-506-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADDY",
        "first_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5138",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaiah Antonio Boyd, PA-C
• Sheniqua Boyd, CRNA
• Aisha Wilson Boykin, PARAPROFESSIONAL
• Andrew T Brackin, CRNA
• Braddy Chiropractic, LLC
• Ambur Laverne Bradford
• Noah Bradsher, FST
• Robert Brady
• Aniome Fatima Braimah, PHARM.D.
• Blessing Braimah

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.