Organization Active NPI

Pain and Accident Chiropractic-Norcross

Doing business as Pain and Accident Chiropractic

  • Chiropractor
  • Norcross, GA
National Provider Identifier
1649861089
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PAIN AND ACCIDENT CHIROPRACTIC-NORCROSS
Doing business as
Pain and Accident Chiropractic
Practice address
3680 Holcomb Bridge Rd Ste 100
Norcross, GA 30092-2708
Phone
(770) 696-5330
NPI assigned
Jan 28, 2021
Last updated
Jan 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Dr. Michael Duckett, DC
Title
Ceo
Phone
(404) 403-5689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3680 Holcomb Bridge Rd Ste 100
Norcross, GA 30092-2708

Mailing address

5665 Atlanta Hwy Ste 103-137
Alpharetta, GA 30004-3959
Phone (404) 403-5689

Other names 1

  • PAIN AND ACCIDENT CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Locations

5665 Atlanta Hwy
Ste 103137
Alpharetta, GA 30004

3680 Holcomb Bridge Rd
Ste 100
Peachtree Corners, GA 30092
Phone (770) 696-5330

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1649861089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 ATLANTA HWY STE 103-137",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043959",
            "telephone_number": "404-403-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 HOLCOMB BRIDGE RD STE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922708",
            "telephone_number": "770-696-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND ACCIDENT CHIROPRACTIC-NORCROSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-403-5689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAIN AND ACCIDENT CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.