Evan Greller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6000 Issued in GA

Practice address

855 Sunset Dr
Ste 8
Athens, GA 30606-7718

Phone

(706) 543-5212

Fax

(706) 549-1480

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Athens Atlas Chiropractic Center, Inc

  • Chiropractor
  • Athens, GA
  • NPI 1023378668
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1700806932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SUNSET DR",
            "address_2": "STE 8",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067718",
            "telephone_number": "706-543-5212",
            "fax_number": "706-549-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SUNSET DR",
            "address_2": "STE 8",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067718",
            "telephone_number": "706-543-5212",
            "fax_number": "706-549-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRELLER",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "582586980",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Brinson Greene I, LCSW
• Tayla Elizabeth Greene, MD
• Andrew J Greenshields, MD
• Andrew Gregor
• Gregory a. Delaurier, M.D., Colorectal and General Surgery, P.C.
• Sabina Gresham
• Gabrielle Griffin, NP-C
• James Freeland Griffin, MD
• Joanna I Griffin
• Samuel C Griffin, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.