Individual provider Active NPI

David M Peyroux, D.C.

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1720021462
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008003 Issued in GA
Practice address
290 Heritage Walk
Suite 102
Woodstock, GA 30188-6402
Phone
(678) 273-3456
Fax
(404) 596-8383
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008003 GA Primary

Addresses

Primary practice location

290 Heritage Walk
Suite 102
Woodstock, GA 30188-6402

Mailing address

1065 Bridge Mill Ave
Canton, GA 30114-7717
Phone (770) 881-2191

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1079LAMDMarriage & Family Therapist
CHIR008003GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Familylife Medical, LLC Current Accepting new patients
First Choice Chiropractic Neurology and Rehabilitation PastSince Jun 27, 2003 Accepting new patients
Perimeter Spine and Rehabilitation LLC Past Accepting new patients
Integrated Health Services Past Accepting new patients
Anointed Healing Past Accepting new patients
Perimeter Spine & Rehabilitation Center LLC Past Accepting new patients
Integrated Health Solutions of Marietta, LLC Past Accepting new patients
Tri County Medical Past Accepting new patients

Organizations & group practices 8

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1720021462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 BRIDGE MILL AVE",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147717",
            "telephone_number": "770-881-2191",
            "fax_number": "770-992-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 HERITAGE WALK",
            "address_2": "SUITE 102",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886402",
            "telephone_number": "678-273-3456",
            "fax_number": "404-596-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYROUX",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.