Active NPI
The Towne Doctor, PC
- Sports Physician Chiropractor
- Toccoa, GA
National Provider Identifier
1679755342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- GA002262
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Toccoa, GA
- NPI 1750573176
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.