Active NPI
Empower Sports Chiropractic LLC
- Sports Physician Chiropractor
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- Legal business name
- EMPOWER SPORTS CHIROPRACTIC LLC
- Practice address
- 308 Canton Rd Ste B
Cumming, GA 30040-2215 - Phone
- (706) 994-4618
- NPI assigned
- Oct 15, 2024
- Last updated
- Oct 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jared Croskey, DC
- Title
- Owner
- Phone
- (706) 994-4618
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | NU | Primary |
Addresses
Primary practice location
308 Canton Rd Ste B
Cumming, GA 30040-2215
Mailing address
1142 Old Roswell Rd
Roswell, GA 30076-1629
Phone (706) 994-4618
Other practice location 1
12640 Crabapple Rd Ste 120
Alpharetta, GA 30004-4645
Phone (706) 994-4618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250109002936 | GA | Part B Supplier - Clinic/Group Practice | 1658809231 | Practice locations: Cumming, GA |
National Provider Directory
National Provider DirectoryLocations
12640 Crabapple Rd
Ste 120
Alpharetta, GA 30004
Phone (706) 994-4618
308 Canton Rd
Ste B
Cumming, GA 30040
Phone (407) 281-9796
407 E Maple St
Ste 107
Cumming, GA 30040
Phone (407) 281-9796
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Cumming, GA
- NPI 1174288450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728950400000",
"number": "1538989587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 OLD ROSWELL RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761629",
"telephone_number": "706-994-4618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 CANTON RD STE B",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402215",
"telephone_number": "706-994-4618"
}
],
"practiceLocations": [
{
"address_1": "12640 Crabapple Rd Ste 120",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300044645",
"country_code": "US",
"telephone_number": "706-994-4618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EMPOWER SPORTS CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A",
"authorized_official_last_name": "CROSKEY",
"authorized_official_first_name": "JARED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-994-4618",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
- Leslie Maria Ells, R.PH.
- Chantal Elmore, DPT
- Nora Elshazly
- Hafiah Eltahir, DO
- Embrace Orthodontics Cumming LLC
- Empowerme Rehabilitation Georgia, LLC
- Empowerme Rehabilitation, LLC
- Encompass Health Rehabilitation Hospital of Cumming, LLC (Encompass Health Rehabilitation Hospital of Cumming)
- Encounter Medical Associates, PC (eMedical Associates)
- Encounter Medical Laboratory Services (eMedical Laboratory Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.