George Phillip Paulk, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001074 Issued in GA

Practice address

9905 Davidson Pkwy
Suite 107
Stockbridge, GA 30281

Phone

(770) 474-1421

Fax

(770) 474-3704

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paulk Chiropractic Clinic Stockbridge LLC

  • Chiropractor
  • Stockbridge, GA
  • NPI 1275774770
  Medicare reassignment NPD
• Paulk Chiropractic Stockbridge,Inc

  • Chiropractor
  • Stockbridge, GA
  • NPI 1932259991
  NPD (past) Authorized official
• Paulk Chiropractic-Fayettevill Inc.

  • Chiropractor
  • Fayetteville, GA
  • NPI 1508900432
  NPD (past) Authorized official
• Paulk Chiropractic-McDonough Inc.

  • Chiropractor
  • Stockbridge, GA
  • NPI 1023152949
  NPD (past) Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1699870238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 DAVIDSON PKWY",
            "address_2": "SUITE 107",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-474-1421",
            "fax_number": "770-474-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 DAVIDSON PKWY",
            "address_2": "SUITE 107",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-474-1421",
            "fax_number": "770-474-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULK",
        "first_name": "GEORGE",
        "middle_name": "PHILLIP",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "001074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keisha Patterson, OTD, OTR/L
• Paulk Chiropractic Clinic Stockbridge LLC
• Paulk Chiropractic Stockbridge,Inc
• Paulk Chiropractic-McDonough Inc.
• Paulk Chiropractic-Stockbridge Inc.
• Tina Baker Paulk, NP
• Vanessa Pavlik
• PD-Uwear, LLC
• Peaceful Insight Counseling LLC
• Peach Health Concierge

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.