Dahlonega Chiropractic Life Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

002814 Issued in GA

Legal business name

DAHLONEGA CHIROPRACTIC LIFE CENTER

Practice address

131 Mechanic St
Dahlonega, GA 30533-1337

Phone

(706) 864-5362

Fax

(706) 864-5761

NPI assigned

Sep 10, 2007

Last updated

Mar 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George T. Holubitsky, D. C.NPI 1699873026

Title

Owner/President

Phone

(706) 864-5362

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• George Todd Holubitsky, D.C.

  • Chiropractor
  • Dahlonega, GA
  • NPI 1699873026
  Medicare reassignment NPD Authorized official
• Curtis Alexander Fedorchuk, D.C.

  • Chiropractor
  • Dahlonega, GA
  • NPI 1417057050
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1679768030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 599",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305330010",
            "telephone_number": "706-864-5362",
            "fax_number": "706-864-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MECHANIC ST",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331337",
            "telephone_number": "706-864-5362",
            "fax_number": "706-864-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAHLONEGA CHIROPRACTIC LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "HOLUBITSKY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "706-864-5362",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "002814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000488276A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DF0709",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "256596",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GRP6905",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Cranwell-Bruce, FNP-C
• Brandon Crosby
• Crown Mountain Women's Health
• Laura Elaine Cupp, FNP-C
• Dahlonega Chiropractic Clinic LLC
• Dahlonega Family Medicine, LLC (Dahlonega Family Medicine)
• Dahlonega Internal Medicine
• Dahlonega Pediatric & Adolescent Medicine
• Dahlonega Pediatric & Adolescent Medicine, Inc.
• Dahlonega Pediatric and Adolescent Medicine (Dahlonega Pediatrics)

• Chiropractor in Dahlonega, GA
• Providers in Dahlonega, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.