Organization Active NPI

Kenneth C Morris, D.C., P.C.

  • Chiropractor
  • Canton, GA
National Provider Identifier
1659549079
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006629 Issued in GA
Legal business name
KENNETH C MORRIS, D.C., P.C.
Doing business as
Back in Motion Chiropractic
Practice address
10515 Bells Ferry Rd
Suite 100
Canton, GA 30114-4204
Phone
(770) 704-0114
Fax
(770) 704-0115
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Melissa Hunter
Title
Office Manager
Phone
(770) 704-0114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR006629 GA Primary

Addresses

Primary practice location

10515 Bells Ferry Rd
Suite 100
Canton, GA 30114-4204

Mailing address

10515 Bells Ferry Rd
Suite 100
Canton, GA 30114-4204
Phone (770) 704-0114

Other names 1

  • Back in Motion Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060206000369 GA Part B Supplier - Clinic/Group Practice 0143234567 Receives reassigned benefits from 2 practitioners
Practice locations: Canton, GA

National Provider Directory

National Provider Directory

Locations

10515 Bells Ferry Rd
Ste 100
Canton, GA 30114
Phone (404) 429-8232

Practitioners & affiliated clinicians

Practitioners 2

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": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1659549079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 BELLS FERRY RD",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144204",
            "telephone_number": "770-704-0114",
            "fax_number": "770-704-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BELLS FERRY RD",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144204",
            "telephone_number": "770-704-0114",
            "fax_number": "770-704-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C MORRIS, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-704-0114"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back in Motion Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.