Individual provider Active NPI

Christopher Brian McCracken, DC

  • Chiropractor
  • Calhoun, GA
National Provider Identifier
1710096870
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO05556 Issued in GA
Practice address
1012 S Wall St
Suite a
Calhoun, GA 30701-3066
Phone
(706) 624-0200
Fax
(706) 624-9136
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO05556 GA Primary

Addresses

Primary practice location

1012 S Wall St
Suite a
Calhoun, GA 30701-3066

Mailing address

1012 S Wall St
Suite a
Calhoun, GA 30701-3066
Phone (706) 624-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000789 GA Practitioner - Chiropractic 9638255508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1012 S Wall St
Suite a
Calhoun, GA 30701-3066
Phone (706) 624-0200

1012 S Wall St a
Calhoun, GA 30701-3066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Calhoun Spinal Associates CurrentSince Dec 28, 2010 Accepting new patients

Locations

1012 S Wall St
Ste A
Calhoun, GA 30701
Phone (706) 624-0200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710096870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 S WALL ST",
            "address_2": "SUITE A",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013066",
            "telephone_number": "706-624-0200",
            "fax_number": "706-624-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 S WALL ST",
            "address_2": "SUITE A",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013066",
            "telephone_number": "706-624-0200",
            "fax_number": "706-624-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "BRIAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO05556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.