The Boone Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007034 Issued in GA

Legal business name

THE BOONE CLINIC, P.C.

Practice address

5370 Stone Mountain Hwy
Suite 730
Stone Mountain, GA 30087-3581

Phone

(770) 498-7879

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Annette Boone, D.C.NPI 1942372347

Title

Chiropractor

Phone

(770) 498-7879

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.

• Annette Boone, D.C.

  • Chiropractor
  • Stone Mountain, GA
  • NPI 1942372347
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1699959916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 STONE MOUNTAIN HWY",
            "address_2": "SUITE 730",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873581",
            "telephone_number": "770-498-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 STONE MOUNTAIN HWY",
            "address_2": "SUITE 730",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873581",
            "telephone_number": "770-498-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BOONE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "770-498-7879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.