Daniel Clay Johnston, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008900 Issued in GA

Practice address

1130 Senoia Rd
Suite B4
Tyrone, GA 30290-1678

Phone

(334) 799-5637

NPI assigned

Mar 12, 2012

Sex

Male

Sole proprietor

No

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

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Southside Family Chiropractic LLC

  • Chiropractor
  • Newnan, GA
  • NPI 1548645062
  Medicare reassignment NPD

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1629343538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 GRAND TETON CIR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302155282",
            "telephone_number": "334-799-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SENOIA RD",
            "address_2": "SUITE B4",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302901678",
            "telephone_number": "334-799-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "DANIEL",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacore Counseling (JaCore Enterprises)
• Jad Medical Group
• Percy Jenkins Jr., ED.D
• Tamika Jenkins, M. A., L. P. C.
• Jasmine Nicole Johnson, MA
• Jonathan Woolfson MD, PC
• Jane Constance Jones, MA, LPC
• Jordan Jones
• Meyanna Kareema Jones
• Melinda English Kantor, MA LPC NCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.