Active NPI
Porter Family Chiropractic Center
- Chiropractor
- Marietta, GA
National Provider Identifier
1740456011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 005756
- Legal business name
- PORTER FAMILY CHIROPRACTIC CENTER
- Doing business as
- Porter Family Chiropractic Center
- Practice address
- 2655 Dallas Hwy SW
Suite 110
Marietta, GA 30064-2597 - Phone
- (770) 427-1889
- Fax
- (770) 427-7513
- NPI assigned
- May 6, 2008
- Last updated
- May 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Debra A Porter
- Title
- President
- Phone
- (770) 427-1889
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 005756 | GA | Primary |
Addresses
Primary practice location
2655 Dallas Hwy SW
Suite 110
Marietta, GA 30064-2597
Mailing address
2655 Dallas Hwy SW
Suite 110
Marietta, GA 30064-2597
Phone (770) 427-1889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00784616A | Medicaid | GA |
Other names 1
- Porter Family Chiropractic Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2655 Dallas Hwy SW
Ste 110
Marietta, GA 30064
Phone (770) 427-1889
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Chiropractor
- Marietta, GA
- NPI 1962543066
-
- Chiropractor
- Marietta, GA
- NPI 1538226451
-
- Chiropractor
- Ringgold, GA
- NPI 1295055093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210032000000",
"number": "1740456011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 DALLAS HWY SW",
"address_2": "SUITE 110",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300642597",
"telephone_number": "770-427-1889",
"fax_number": "770-427-7513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 DALLAS HWY SW",
"address_2": "SUITE 110",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300642597",
"telephone_number": "770-427-1889",
"fax_number": "770-427-7513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTER FAMILY CHIROPRACTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-427-1889",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "005756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00784616A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Porter Family Chiropractic Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.