Individual provider Active NPI

Kara Lee Zajac, D.C.

  • Chiropractor
  • Dawsonville, GA
National Provider Identifier
1508879735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
GA6581 Issued in GA
Practice address
6564 Highway 53 E
Dawsonville, GA 30534-6806
Phone
(706) 265-7339
Fax
(706) 216-1209
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X GA6581 GA Primary

Addresses

Primary practice location

6564 Highway 53 E
Dawsonville, GA 30534-6806

Mailing address

6564 Highway 53 E
Dawsonville, GA 30534-6806
Phone (706) 265-7339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111108000822 GA Practitioner - Chiropractic 9234302134 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GA6581GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Physician Practices PastSince May 4, 2002 Accepting new patients

Organizations & group practices 2

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508879735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6564 HIGHWAY 53 E",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346806",
            "telephone_number": "706-265-7339",
            "fax_number": "706-216-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6564 HIGHWAY 53 E",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346806",
            "telephone_number": "706-265-7339",
            "fax_number": "706-216-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJAC",
        "first_name": "KARA",
        "middle_name": "LEE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "GA6581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.