Individual provider Active NPI

Peter Alexander, DC

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1609502558
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO10743 Issued in GA
Practice address
11050 Crabapple Rd Ste 110C
Roswell, GA 30075-2476
Phone
(678) 315-4632
NPI assigned
Jul 25, 2022
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO10743 GA Primary

Addresses

Primary practice location

11050 Crabapple Rd Ste 110C
Roswell, GA 30075-2476

Mailing address

11050 Crabapple Rd Ste 110C
Roswell, GA 30075-2476
Phone (678) 315-4632

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hybridspineandsport.janeapp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO10743GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hybrid Spine and Sport Chiropractor CurrentSince Oct 16, 2022 Accepting new patients

Locations

11050 Crabapple Rd
Ste 110C
Roswell, GA 30075
Phone (404) 594-8829

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1609502558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 CRABAPPLE RD STE 110C",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752476",
            "telephone_number": "678-315-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 CRABAPPLE RD STE 110C",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752476",
            "telephone_number": "678-315-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO10743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hybridspineandsport.janeapp.com",
            "affiliation": "N",
            "endpointDescription": "EHR software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11050 Crabapple Rd Ste 110C",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300752476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.