Individual provider Active NPI

John Cleburn Schraub, D.C.

  • Chiropractor
  • Monroe, GA
National Provider Identifier
1790856045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006524 Issued in GA
Practice address
311 Alcovy St
Monroe, GA 30655-2139
Phone
(770) 207-9465
NPI assigned
Nov 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006524 GA Primary

Addresses

Primary practice location

311 Alcovy St
Monroe, GA 30655-2139

Mailing address

311 Alcovy St
Monroe, GA 30655-2139
Phone (770) 207-9465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131231001095 GA Practitioner - Chiropractic 4183852882 Practice locations: Monroe, GA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 Alcovy St B
Monroe, GA 30655-2139
Phone (770) 207-5454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006524GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Sports and Family Chiropractic,Inc CurrentSince Jul 1, 2000 Accepting new patients

Locations

311 Alcovy St
Monroe, GA 30655
Phone (770) 207-7916

311 Alcovy St
#B
Monroe, GA 30655
Phone (770) 207-5454

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790856045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ALCOVY ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552139",
            "telephone_number": "770-207-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ALCOVY ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552139",
            "telephone_number": "770-207-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAUB",
        "first_name": "JOHN",
        "middle_name": "CLEBURN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.