Active NPI
Johnny A Garcia, DC
- Chiropractor
- Decatur, GA
National Provider Identifier
1508870106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007109
- Practice address
- 4982 Covington Hwy
Decatur, GA 30035-2017 - Phone
- (404) 288-8433
- Fax
- (404) 288-8430
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR007109 | GA | Primary |
Addresses
Primary practice location
4982 Covington Hwy
Decatur, GA 30035-2017
Mailing address
4982 Covington Hwy
Decatur, GA 30035-2017
Phone (404) 288-8433
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52890944 | Other | GA | BCBS OF GA |
| 8749052 | Other | GA | GIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1777 Lee Rd
Suite D
Lithia Springs, GA 30122-3074
Phone (404) 288-8433
4982 Covington Hwy
Decatur, GA 30035-2017
Phone (404) 288-8433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR007109 | GA | MD | Chiropractor |
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.
-
- Chiropractor
- Decatur, GA
- NPI 1295912251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508870106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4982 COVINGTON HWY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300352017",
"telephone_number": "404-288-8433",
"fax_number": "404-288-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4982 COVINGTON HWY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300352017",
"telephone_number": "404-288-8433",
"fax_number": "404-288-8430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "JOHNNY",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF GA",
"identifier": "52890944",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GIGNA",
"identifier": "8749052",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.