Organization Active NPI

Performance Family Chiropractic PLLC

  • Chiropractor
  • Apex, NC
National Provider Identifier
1689207706
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PERFORMANCE FAMILY CHIROPRACTIC PLLC
Practice address
1480 Chapel Ridge Rd Ste 150
Apex, NC 27502-8504
Phone
(919) 335-5954
NPI assigned
Feb 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Dr. Justin Gianni, DCNPI 1336544337
Title
Owner
Phone
(919) 335-5954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1480 Chapel Ridge Rd Ste 150
Apex, NC 27502-8504

Mailing address

1480 Chapel Ridge Rd Ste 150
Apex, NC 27502-8504
Phone (919) 335-5954

Other identifiers 3

IdentifierTypeStateIssuer
4523OtherNCCHIROPRACTIC LICENSE
006945OtherOPTUM INSURANCE
1336544337OtherINDIVIDUAL NPI

Other names 1

  • Performance Family Chiropractic Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL https://drgianni.medicfusion.com/ Direct
Direct Messaging Address pfc@drgianni.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200225000003 NC Part B Supplier - Clinic/Group Practice 4587091954 Receives reassigned benefits from 2 practitioners
Practice locations: Apex, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1689207706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 CHAPEL RIDGE RD STE 150",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028504",
            "telephone_number": "919-335-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 CHAPEL RIDGE RD STE 150",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028504",
            "telephone_number": "919-335-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "GIANNI",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-335-5954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "4523",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM INSURANCE",
            "identifier": "006945",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1336544337",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://drgianni.medicfusion.com/",
            "affiliation": "N",
            "endpointDescription": "EHR with Secure Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1480 Chapel Ridge Rd Ste 150",
            "city": "Apex",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275028504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfc@drgianni.com",
            "affiliation": "N",
            "endpointDescription": "hipaa compliant email",
            "address_1": "1480 Chapel Ridge Rd Ste 150",
            "city": "Apex",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275028504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Performance Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.