Active NPI
Tree Trail Medical, LLC
- Chiropractor
- Norcross, GA
National Provider Identifier
1750461752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR005852
- Legal business name
- TREE TRAIL MEDICAL, LLC
- Practice address
- 1250 Tech Dr Ste 460
Norcross, GA 30093-6245 - Phone
- (770) 638-7246
- Fax
- (770) 806-0991
- NPI assigned
- Oct 16, 2006
- 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. Kevin T Larson, D.C.
- Title
- Owner
- Phone
- (770) 638-7246
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR005852 | GA | Primary |
| Internal Medicine Physician | 207R00000X | 038843 | GA |
Addresses
Primary practice location
1250 Tech Dr Ste 460
Norcross, GA 30093-6245
Mailing address
1250 Tech Dr Ste 460
Norcross, GA 30093-6245
Phone (770) 638-7246
National Provider Directory
National Provider DirectoryLocations
1250 Tech Dr
Ste 460
Norcross, GA 30093
Phone (770) 638-7246
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Norcross, GA
- NPI 1659644409
-
- Chiropractor
- Norcross, GA
- NPI 1851643449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1750461752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 TECH DR STE 460",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300936245",
"telephone_number": "770-638-7246",
"fax_number": "770-806-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 TECH DR STE 460",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300936245",
"telephone_number": "770-638-7246",
"fax_number": "770-806-0991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREE TRAIL MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-638-7246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR005852",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "038843",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.