Organization Active NPI

The Towne Doctor, PC

  • Sports Physician Chiropractor
  • Toccoa, GA
National Provider Identifier
1679755342
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
GA002262 Issued in GA
Legal business name
THE TOWNE DOCTOR, PC
Practice address
921 S Big a Rd
Toccoa, GA 30577-3811
Phone
(706) 886-9616
Fax
(706) 282-0365
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Stephen Bloomingdale
Title
Director
Phone
(706) 886-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X GA002262 GA Primary

Addresses

Primary practice location

921 S Big a Rd
Toccoa, GA 30577-3811

Mailing address

921 S Big a Rd
Toccoa, GA 30577-3811
Phone (706) 886-9616

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1679755342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S BIG A RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305773811",
            "telephone_number": "706-886-9616",
            "fax_number": "706-282-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S BIG A RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305773811",
            "telephone_number": "706-886-9616",
            "fax_number": "706-282-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TOWNE DOCTOR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "BLOOMINGDALE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-886-9616",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "GA002262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.