Terry D Southerland, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

02477 Issued in GA

Practice address

3613 Braselton Hwy
Suite 101
Dacula, GA 30019-4665

Phone

(678) 482-2014

Fax

(678) 482-2997

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Terry D. Southerland, D.C.P.C.

  dba Hamilton Mill Chiropractic Center

  • Chiropractor
  • Dacula, GA
  • NPI 1043554272
  NPD Authorized official
• Parker G. Barnett DC LLC

  dba Hamilton Mill Chiropractic Center

  • Chiropractor
  • Dacula, GA
  • NPI 1033636808
  NPD
• Edwin, Inc

  dba Southerland Chiropractic Center

  • Chiropractor
  • Smyrna, GA
  • NPI 1245358738
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578664173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 BRASELTON HWY",
            "address_2": "SUITE 101",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194665",
            "telephone_number": "678-482-2014",
            "fax_number": "678-482-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 BRASELTON HWY",
            "address_2": "SUITE 101",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194665",
            "telephone_number": "678-482-2014",
            "fax_number": "678-482-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERLAND",
        "first_name": "TERRY",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "02477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Louise Snider, PT, DPT
• Tracy Snipes
• Tonisa Micole Snow, FNP
• Casey Sommerfeld, MD
• Justin Lee Sorensen, PTA
• Vicky Sparks, OTR/L
• Speechsprout Therapy
• Starting Point Services, LLC
• Freda Vonzelle Still, DNP, APRN, PMHNP-BC
• Billy Stone

• Chiropractor in Dacula, GA
• Providers in Dacula, GA by specialty
• Chiropractor in Georgia

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

Verify at the official NPI Registry.