Sports Doc LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3034 Issued in GA

Legal business name

SPORTS DOC LLC

Practice address

2505 Newpoint Pkwy
Ste 200
Lawrenceville, GA 30043-6003

Phone

(770) 271-3188

NPI assigned

Jun 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Evelyn Higgins, DC

Title

Partner

Phone

(770) 271-3188

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1588079818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 NEWPOINT PKWY",
            "address_2": "STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436003",
            "telephone_number": "770-271-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 NEWPOINT PKWY",
            "address_2": "STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436003",
            "telephone_number": "770-271-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS DOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-271-3188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "3034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donovan James Spencer, MD
• Laura Leigh Spencer, LPC
• Laurie Diane Sperry
• Jay Vincent Spinale, L.C.S.W.
• Ashley Spleen
• Sports Medicine South of Gwinnett LLC
• Sports Medicine South, LLC
• Sheila Y Srinivasan, MD
• Anousith Sriratanakoul, CCC-SLP
• Maudeline Kolu St Jean

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.