Trace Thomas Palmer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007278 Issued in GA

Practice address

11258 Ford Ave Ste 13
Richmond Hill, GA 31324-8880

Phone

(912) 756-3433

Fax

(866) 625-0215

NPI assigned

Jun 8, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Palmer Chiropractic

  • Chiropractor
  • Richmond Hill, GA
  • NPI 1285997296
  NPD (past) Authorized official

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1780904193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11258 FORD AVE STE 13",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248880",
            "telephone_number": "912-756-3433",
            "fax_number": "866-625-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11258 FORD AVE STE 13",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248880",
            "telephone_number": "912-756-3433",
            "fax_number": "866-625-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "TRACE",
        "middle_name": "THOMAS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Jeannae Owens-Knox
• Joseph Bret Owens, MD
• Morgan Alexis Owens
• Pain Treatment Centers of Georgia LLC
• Palmer Chiropractic
• Pamela Mokoko
• Charity Anne Parker, PT, DPT
• Hillary Parker, MA, LPC
• Kara Parker
• Ciera Parks

• Chiropractor in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.