Journey Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009914 Issued in GA

Legal business name

JOURNEY CHIROPRACTIC, LLC

Doing business as

My Journey Chiropractic

Practice address

4946 Bill Gardner Parkway
Locust Grove, GA 30248-6835

Phone

(706) 400-6750

NPI assigned

Aug 31, 2018

Last updated

Oct 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Russett McLemore, DCNPI 1639678402

Title

Owner

Phone

(706) 400-6750

Specialties & licenses 1

Addresses

Other names 1

• My Journey Chiropractic Doing business as

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, and the practitioner matching its NPPES authorized official.

• Russett McLemore, DC

  • Chiropractor
  • McDonough, GA
  • NPI 1639678402
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1780166215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 RACETRACK RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302526835",
            "telephone_number": "706-400-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4946 BILL GARDNER PARKWAY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302486835",
            "telephone_number": "706-400-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "MCLEMORE",
        "authorized_official_first_name": "RUSSETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-400-6750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Journey Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Journey Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.