Active NPI
Erika L Ratcliffe, D.C.
- Rehabilitation Chiropractor
- Loganville, GA
National Provider Identifier
1710192240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 5365
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00769623A | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH7169 | FL | MD | Rehabilitation Chiropractor |
| 5365 | GA | MD | Rehabilitation Chiropractor |
| 1885 | SC | MD | Optometrist |
| 2874 | MA | MD | Physical 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.