Teri L Stockwell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009030 Issued in GA

Practice address

1415 Barclay Cir SE
Marietta, GA 30060-2943

Phone

(770) 426-2786

Fax

(770) 792-6113

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Teri L. Stockwell

  • Chiropractor
  • Traverse City, MI
  • NPI 1932490992
  NPD (past) Authorized official
• Hope Clinic for Muscle & Joint Pain PLLC

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1861800187
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1770626681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BARCLAY CIR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602943",
            "telephone_number": "770-426-2786",
            "fax_number": "770-792-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BARCLAY CIR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602943",
            "telephone_number": "770-426-2786",
            "fax_number": "770-792-6113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3221 Logan Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496844772",
            "country_code": "US",
            "telephone_number": "231-933-0100",
            "fax_number": "231-933-4106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKWELL",
        "first_name": "TERI",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009030",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007022",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN INDIVIDUAL PIN NUMBER",
            "identifier": "P101464",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "950B810180",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL ID NUMBER",
            "identifier": "950B852340",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3144040",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP NUMBER",
            "identifier": "G05544",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Still, OT
• Stillwaters Counseling Services
• Ranan Boyett Stimpson, OD
• Carrie Ann Nalisnick Stinson, M.D.
• Stephanie Stock
• Julie Stofko, LPN
• Jimmie Roland Stokes, D.C.
• Lorraine C Stokes, LCSW
• Shari Stokes, M.D.
• Shambria Stoll, APC, NCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.