Organization Active NPI

Stevens Family Chiropractic, PC

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1629602784
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STEVENS FAMILY CHIROPRACTIC, PC
Doing business as
WOODSTOCK HEALTH INSTITUTE
Practice address
1105 Parkside LN Ste 1322
Woodstock, GA 30189-5380
Phone
(678) 831-8419
NPI assigned
Feb 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Bruce D. Stevens, DCNPI 1669503421
Title
Ceo
Phone
(805) 588-1176

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1105 Parkside LN Ste 1322
Woodstock, GA 30189-5380

Mailing address

313 Quiet Hill LN
Woodstock, GA 30189-5535
Phone (805) 588-1176

Other names 1

  • WOODSTOCK HEALTH INSTITUTE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200408004495 GA Part B Supplier - Clinic/Group Practice 7416386644 Receives reassigned benefits from 6 practitioners
Practice locations: Woodstock, GA

National Provider Directory

National Provider Directory

Locations

1105 Parkside Ln
Ste 1322
Woodstock, GA 30189
Phone (678) 831-8419

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1629602784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 QUIET HILL LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895535",
            "telephone_number": "805-588-1176",
            "fax_number": "678-737-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 PARKSIDE LN STE 1322",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895380",
            "telephone_number": "678-831-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-588-1176",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODSTOCK HEALTH INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.