Organization Active NPI

Brainstem Solutions

  • Chiropractor
  • Johns Creek, GA
National Provider Identifier
1568911758
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008982 Issued in GA
Legal business name
BRAINSTEM SOLUTIONS
Practice address
9700 Medlock Bridge Rd
132
Johns Creek, GA 30097-4411
Phone
(770) 450-9394
NPI assigned
Sep 28, 2016
Last updated
Sep 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Jeremy SedlockNPI 1609137827
Title
President
Phone
(770) 450-9394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008982 GA Primary

Addresses

Primary practice location

9700 Medlock Bridge Rd
132
Johns Creek, GA 30097-4411

Mailing address

2610 Moon Chase LN
Buford, GA 30519-5363

National Provider Directory

National Provider Directory

Locations

9700 Medlock Bridge Rd
Ste 132
Johns Creek, GA 30097
Phone (770) 450-9394

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.

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1568911758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 MOON CHASE LN",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 MEDLOCK BRIDGE RD",
            "address_2": "132",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974411",
            "telephone_number": "770-450-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINSTEM SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "SEDLOCK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-450-9394"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.