Organization Active NPI

Peachtree City Chiropractic

  • Chiropractor
  • Peachtree City, GA
National Provider Identifier
1669665030
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR004673 Issued in GA
Legal business name
PEACHTREE CITY CHIROPRACTIC
Practice address
1117 Crosstown CT.
Peachtree City, GA 30269-2951
Phone
(770) 631-3822
Fax
(770) 486-3515
NPI assigned
Aug 20, 2007
Last updated
Aug 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Dr. Harold Clifford Bost Jr., D.C.NPI 1962431221
Title
Owner
Phone
(770) 631-3822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR004673 GA Primary

Addresses

Primary practice location

1117 Crosstown CT.
Peachtree City, GA 30269-2951

Mailing address

1117 Crosstown CT.
Peachtree City, GA 30269-2951
Phone (770) 631-3822

National Provider Directory

National Provider Directory

Locations

1117 Crosstown Ct
Peachtree Cty, GA 30269
Phone (770) 631-3822

1999 Highway 54 W
Peachtree Cty, GA 30269
Phone (770) 487-5600

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": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1669665030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 CROSSTOWN CT.",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692951",
            "telephone_number": "770-631-3822",
            "fax_number": "770-486-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 CROSSTOWN CT.",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692951",
            "telephone_number": "770-631-3822",
            "fax_number": "770-486-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE CITY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "BOST",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-631-3822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR004673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.