Crouch Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5885 Issued in GA

Legal business name

CROUCH CHIROPRACTIC CLINIC

Practice address

413 Greenville St
Lagrange, GA 30241-3360

Phone

(706) 812-2225

Fax

(706) 812-8966

NPI assigned

Jul 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Eric A. Crouch, D.C.NPI 1598850315

Title

President

Phone

(706) 812-2225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Alvin Crouch, DC

  • Chiropractor
  • Lagrange, GA
  • NPI 1598850315
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1750510517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 GREENVILLE ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413360",
            "telephone_number": "706-812-2225",
            "fax_number": "706-812-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 GREENVILLE ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413360",
            "telephone_number": "706-812-2225",
            "fax_number": "706-812-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROUCH CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-812-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Noel Covin, BS, RBT
• Shanterrika L Cox
• Kylia Butler Crane, RD, LD
• Nicole Casimira Crane, PA-C
• Crossroads Treatment Center of Lagrange, PC
• Eric Alvin Crouch, DC
• Brittain Skylar Crowe
• Deborah Belinda Culpepper
• Shatevia S Culpepper, MS, LAPC
• Custom Medication and Compliance Specialists Inc

• Chiropractor in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.

Verify at the official NPI Registry.