Dylan De Graaf, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009563 Issued in GA

Practice address

6740 Shannon Pkwy
Suite 9
Union City, GA 30291-2057

Phone

(404) 550-9398

NPI assigned

Jan 1, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Premier Health Chiropractic Incorporated

  • Chiropractor
  • Union City, GA
  • NPI 1699296921
  NPD (past) Authorized official

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

{
    "created_epoch": "1451606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1669838926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8314 OFFICE PARK DR",
            "address_2": "1C-1D",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "404-550-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 SHANNON PKWY",
            "address_2": "SUITE 9",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912057",
            "telephone_number": "404-550-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GRAAF",
        "first_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-01",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winston Daniels
• Tyrone Davis
• Joy Dawson
• Retina Deon Dawson, LCSW
• De Divine Kare LLC
• Carrie Dean, PHARM D
• Dina Delva-Ogiste, LCSW
• Dental Center of Atlanta, PDP, LLC Robert Pauley
• Raylentina Latoya Dickey, RD, LD
• Dickson Osanu

• Chiropractor in Union City, GA
• Providers in Union City, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.