Organization Active NPI

Chirocare Rehabilitation

  • Rehabilitation Chiropractor
  • Jonesboro, GA
National Provider Identifier
1770072407
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
009201 Issued in GA
Legal business name
CHIROCARE REHABILITATION
Practice address
9374 S Main St
Jonesboro, GA 30236-6022
Phone
(678) 289-8855
NPI assigned
May 8, 2018
Last updated
May 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Candace Prayor
Title
Office Manager
Phone
(678) 289-8855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 009201 GA Primary

Addresses

Primary practice location

9374 S Main St
Jonesboro, GA 30236-6022

Mailing address

9374 S Main St
Jonesboro, GA 30236-6022
Phone (678) 289-8855

Other names 1

  • ChiroCare Rehabilitation Center Former legal business name

National Provider Directory

National Provider Directory

Locations

9374 S Main St
Jonesboro, GA 30236
Phone (678) 289-8855

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": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1770072407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9374 S MAIN ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302366022",
            "telephone_number": "678-289-8855",
            "fax_number": "678-952-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9374 S MAIN ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302366022",
            "telephone_number": "678-289-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROCARE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "PRAYOR",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-289-8855"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "009201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChiroCare Rehabilitation Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.