Individual provider Active NPI

Bobby Wayne Stone Jr., D.C.

  • Chiropractor
  • Flowery Branch, GA
National Provider Identifier
1508836073
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007969 Issued in GA
Practice address
7380 Spout Springs Rd
200
Flowery Branch, GA 30542-7541
Phone
(770) 965-2440
Fax
(770) 965-2430
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007969 GA Primary

Addresses

Primary practice location

7380 Spout Springs Rd
200
Flowery Branch, GA 30542-7541

Mailing address

7380 Spout Springs Rd
200
Flowery Branch, GA 30542-7541
Phone (770) 965-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR007969GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Chiropractic and Rehabilitation Chiropractor PastSince Nov 15, 2006 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1508836073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 SPOUT SPRINGS RD",
            "address_2": "200",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305427541",
            "telephone_number": "770-965-2440",
            "fax_number": "770-965-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 SPOUT SPRINGS RD",
            "address_2": "200",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305427541",
            "telephone_number": "770-965-2440",
            "fax_number": "770-965-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "BOBBY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowery Branch, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.