Individual provider Active NPI

Philip A Librone, D.C.

  • Chiropractor
  • Acworth, GA
National Provider Identifier
1669551842
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005549 Issued in GA
Practice address
1685 Mars Hill Rd NW Ste 103
Acworth, GA 30101-7180
Phone
(770) 218-0400
Fax
(770) 218-1160
NPI assigned
Nov 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005549 GA Primary

Addresses

Primary practice location

1685 Mars Hill Rd NW Ste 103
Acworth, GA 30101-7180

Mailing address

1685 Mars Hill Rd NW Ste 103
Acworth, GA 30101-7180
Phone (770) 218-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005549GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Delaram Shekarriz Inc. Chiropractor PastSince Aug 11, 2017 Accepting new patients
Lost Mountain Chiropractic Family and Pediatrics LLC Chiropractor PastSince May 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669551842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 MARS HILL RD NW STE 103",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017180",
            "telephone_number": "770-218-0400",
            "fax_number": "770-218-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 MARS HILL RD NW STE 103",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017180",
            "telephone_number": "770-218-0400",
            "fax_number": "770-218-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBRONE",
        "first_name": "PHILIP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "005549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.