Active NPI
Family Healthcare Clinic, Inc.
- Chiropractor
- Lawrenceville, GA
National Provider Identifier
1750383196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 005294
- Legal business name
- FAMILY HEALTHCARE CLINIC, INC.
- Practice address
- 2768 Five Forks Trickum Rd
Lawrenceville, GA 30044-5865 - Phone
- (770) 978-4419
- Fax
- (770) 978-2017
- NPI assigned
- Aug 15, 2005
- 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. Deborah M Brown, DC
- Title
- President/Owner
- Phone
- (770) 978-4419
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 | 005294 | GA | Primary |
Addresses
Primary practice location
2768 Five Forks Trickum Rd
Lawrenceville, GA 30044-5865
Mailing address
2768 Five Forks Trickum Rd
Lawrenceville, GA 30044-5865
Phone (770) 978-4419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2768 Five Forks Trickum Rd
Lawrenceville, GA 30044
Phone (770) 978-4419
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lawrenceville, GA
- NPI 1265610125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196035200000",
"number": "1750383196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2768 FIVE FORKS TRICKUM RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300445865",
"telephone_number": "770-978-4419",
"fax_number": "770-978-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2768 FIVE FORKS TRICKUM RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300445865",
"telephone_number": "770-978-4419",
"fax_number": "770-978-2017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTHCARE CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-15",
"last_updated": "2007-11-26",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "770-978-4419",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "005294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
- Faith Transport & Companion Services, LLC
- Hartley L. Falbaum, M.D.
- Joseph Henry Fallon Jr., PH.D.
- Family First Home Health LLC
- Family Guidance LLC
- Family Medical Center of NE Georgia,LLC
- Family Medical Clinic of Lawrenceville
- Family Practice Clinic PC
- Heather Leigh Farhy, NNP-BC
- Debra Farley, M.A.,CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.