Organization Active NPI

Royston Chiropractic Clinic, LLC

  • Chiropractor
  • Royston, GA
National Provider Identifier
1629379599
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008603 Issued in GA
Legal business name
ROYSTON CHIROPRACTIC CLINIC, LLC
Practice address
1157 E Main St
Royston, GA 30662-3803
Phone
(706) 461-2811
NPI assigned
Nov 9, 2010
Last updated
Nov 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
Dr. Marcus Hegger, D.C.NPI 1093034670
Title
Owner
Phone
(706) 461-2811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008603 GA Primary

Addresses

Primary practice location

1157 E Main St
Royston, GA 30662-3803

Mailing address

1157 E Main St
Royston, GA 30662-3803
Phone (706) 461-2811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101202000741 GA Part B Supplier - Clinic/Group Practice 5799971784 Receives reassigned benefits from 1 practitioner
Practice locations: Hartwell, GA

National Provider Directory

National Provider Directory

Locations

1157 E Main St
Royston, GA 30662
Phone (706) 461-2811

Practitioners & affiliated clinicians

Practitioners 2

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": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1629379599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 E MAIN ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306623803",
            "telephone_number": "706-461-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 E MAIN ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306623803",
            "telephone_number": "706-461-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYSTON CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "HEGGER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-461-2811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.