Organization Active NPI

Hamilton Mill Family Chiropractic

  • Chiropractor
  • Dacula, GA
National Provider Identifier
1578708152
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HAMILTON MILL FAMILY CHIROPRACTIC
Practice address
3509 Braselton Hwy
BLDG F
Dacula, GA 30019-1027
Phone
(770) 614-6625
NPI assigned
Dec 10, 2008
Last updated
Dec 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Russell GlassmanNPI 1174642631
Title
Owner
Phone
(770) 614-6625

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)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3509 Braselton Hwy
BLDG F
Dacula, GA 30019-1027

Mailing address

3509 Braselton Hwy
BLDG F
Dacula, GA 30019-1027
Phone (770) 614-6625

National Provider Directory

National Provider Directory

Locations

3509 Braselton Hwy
Bldg F
Dacula, GA 30019
Phone (770) 614-6630

Practitioners & affiliated clinicians

Practitioners 3

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": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1578708152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 BRASELTON HWY",
            "address_2": "BLDG F",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191027",
            "telephone_number": "770-614-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 BRASELTON HWY",
            "address_2": "BLDG F",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191027",
            "telephone_number": "770-614-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON MILL FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "GLASSMAN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-614-6625"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.