Individual provider Active NPI

Ross J Deacon, DC

  • Chiropractor
  • Lagrange, GA
National Provider Identifier
1528951449
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR011414 Issued in GA
Practice address
302 S Greenwood St
Lagrange, GA 30240-3122
Phone
(706) 884-8360
NPI assigned
May 30, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR011414 GA Primary

Addresses

Primary practice location

302 S Greenwood St
Lagrange, GA 30240-3122

Mailing address

302 S Greenwood St
Lagrange, GA 30240-3122
Phone (706) 884-8360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251010000053 GA Practitioner - Chiropractic 6800393257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1301 Shiloh Rd NW
Suite Unit420
Kennesaw, GA 30144-7147

2281 Akers Mill Rd SE
Apt 5118
Atlanta, GA 30339-2690

302 S Greenwood St
Lagrange, GA 30240-3122

PO Box
Suite 1126
Roswell, GA 30077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR011414GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
LPC Alpharetta LLC Chiropractor CurrentSince Sep 25, 2025 Accepting new patients
Aspinwall Chiropractic Clinic, L.L.C. Chiropractor CurrentSince Aug 11, 2025 Accepting new patients
Optimum Performance Chiropractic & Wellness LLC. Chiropractor Past Accepting new patients
Certified Rehab of Georgia PastSince Jun 3, 2025 Accepting new patients

Locations

11381 Southbridge Pkwy
Alpharetta, GA 30022
Phone (770) 521-9008

11130 State Bridge Rd
Ste C102
Johns Creek, GA 30022
Phone (678) 403-2121

302 S Greenwood St
Lagrange, GA 30240
Phone (706) 882-0008

Organizations & group practices 4

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": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1528951449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S GREENWOOD ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403122",
            "telephone_number": "706-884-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S GREENWOOD ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403122",
            "telephone_number": "706-884-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEACON",
        "first_name": "ROSS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.