A Touch of Georgia Chiropractic Clinic
Organization Active NPI Chiropractor · Athens, GA
NPI 1689610529 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1689610529
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIR007885 (GA)
- Legal business name
- A TOUCH OF GEORGIA CHIROPRACTIC CLINIC
- Practice address
- 485 Huntington Rd
Suite 194
Athens, GA 30606-1861 - Phone
- (706) 548-5922
- Fax
- (706) 549-9354
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Carissa Janine Gannan, D.C
- Title
- Doctor/Partner
- Phone
- (706) 548-5922
Practitioners 3
-
Carissa Janine Suttles, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060809000209 | GA | Part B Supplier - Clinic/Group Practice | 4486657640 |
Receives reassigned benefits from 2 practitioners Practice locations: Athens, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CHIR007885 | GA | Yes |
Addresses
Primary practice location
485 Huntington Rd
Suite 194
Athens, GA 30606-1861
Mailing address
485 Huntington Rd
Suite 194
Athens, GA 30606-1861
Phone (706) 548-5922
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.