Organization Active NPI

Creekside Family Chiropractic

  • Chiropractor
  • Holly Springs, GA
National Provider Identifier
1730638438
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008221 Issued in GA
Legal business name
CREEKSIDE FAMILY CHIROPRACTIC
Practice address
5947 Holly Springs Pkwy
Suite 308
Holly Springs, GA 30188-2447
Phone
(770) 744-8393
NPI assigned
Sep 23, 2016
Last updated
Sep 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Dr. Mary Strange, D.C.
Title
Owner/ Chiropractic
Phone
(770) 744-8393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR008221 GA Primary

Addresses

Primary practice location

5947 Holly Springs Pkwy
Suite 308
Holly Springs, GA 30188-2447

Mailing address

5947 Holly Springs Pkwy
Suite 308
Holly Springs, GA 30188-2447
Phone (770) 744-8393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1730638438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5947 HOLLY SPRINGS PKWY",
            "address_2": "SUITE 308",
            "city": "HOLLY SPRINGS",
            "state": "GA",
            "postal_code": "301882447",
            "telephone_number": "770-744-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5947 HOLLY SPRINGS PKWY",
            "address_2": "SUITE 308",
            "city": "HOLLY SPRINGS",
            "state": "GA",
            "postal_code": "301882447",
            "telephone_number": "770-744-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "STRANGE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTIC",
        "authorized_official_telephone_number": "770-744-8393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.