Stuckey Clinic of Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007582 Issued in GA

Legal business name

STUCKEY CLINIC OF CHIROPRACTIC

Practice address

2557 Highway 76
Chatsworth, GA 30705-7311

Phone

(706) 517-0419

Fax

(706) 517-0420

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Orville L Stuckey Jr., D.C.NPI 1033263314

Title

Doctor/Ceo

Phone

(706) 517-0419

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Orville Stuckey Jr., D.O

  • Chiropractor
  • Chatsworth, GA
  • NPI 1033263314
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1699938514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 HIGHWAY 76",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307057311",
            "telephone_number": "706-517-0419",
            "fax_number": "706-517-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 HIGHWAY 76",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307057311",
            "telephone_number": "706-517-0419",
            "fax_number": "706-517-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUCKEY CLINIC OF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "STUCKEY",
        "authorized_official_first_name": "ORVILLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR/CEO",
        "authorized_official_telephone_number": "706-517-0419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carley McCall Smith, PA
• Jennifer Hair Smith
• Michael Allen Spandau, CSFA
• Victorria Faith Stafford Lovain, CSFA
• Randall K. Stinson, PA
• Orville Stuckey Jr., D.O
• Evan Suddeth, PT, DPT
• Melissa A Sutton, MSN, APRN, FNP-C
• Michael Caleb Swindell, MD
• Edwin Tom Taylor, MD, FAAP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.