Individual provider Active NPI

Erika L Ratcliffe, D.C.

  • Rehabilitation Chiropractor
  • Loganville, GA
National Provider Identifier
1710192240
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
5365 Issued in GA
Practice address
910 Athens Hwy Ste J-10
Loganville, GA 30052-4952
Phone
(770) 554-5400
Fax
(770) 554-5401
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 5365 GA Primary
Rehabilitation Chiropractor 111NR0400X 1885 SC
Rehabilitation Chiropractor 111NR0400X CH7169 FL
Rehabilitation Chiropractor 111NR0400X 2874 MA

Addresses

Primary practice location

910 Athens Hwy Ste J-10
Loganville, GA 30052-4952

Mailing address

910 Athens Hwy Ste J-10
Loganville, GA 30052-4952
Phone (770) 554-5400

Other identifiers 1

IdentifierTypeStateIssuer
00769623AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH7169FLMDRehabilitation Chiropractor
5365GAMDRehabilitation Chiropractor
1885SCMDOptometrist
2874MAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710192240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ATHENS HWY STE J-10",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524952",
            "telephone_number": "770-554-5400",
            "fax_number": "770-554-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ATHENS HWY STE J-10",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524952",
            "telephone_number": "770-554-5400",
            "fax_number": "770-554-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCLIFFE",
        "first_name": "ERIKA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "5365",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "SC",
            "license": "1885",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH7169",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MA",
            "license": "2874",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00769623A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.