Organization Active NPI

Mayfield Chiropractic Center, P.C.

  • Chiropractor
  • Norcross, GA
National Provider Identifier
1801169297
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1101 Issued in GA
Legal business name
MAYFIELD CHIROPRACTIC CENTER, P.C.
Practice address
2010 Beaver Ruin Rd
Norcross, GA 30071-3710
Phone
(770) 449-9050
Fax
(770) 449-0366
NPI assigned
Feb 15, 2012
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Randy Mayfield, D.C.NPI 1831258011
Title
Owner
Phone
(770) 449-9050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1101 GA Primary

Addresses

Primary practice location

2010 Beaver Ruin Rd
Norcross, GA 30071-3710

Mailing address

2010 Beaver Ruin Rd
Norcross, GA 30071-3710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120313000513 GA Part B Supplier - Clinic/Group Practice 3870752777 Receives reassigned benefits from 2 practitioners
Practice locations: Norcross, GA

National Provider Directory

National Provider Directory

Locations

2010 Beaver Ruin Rd
Norcross, GA 30071
Phone (770) 449-5664

2010 Beaver Ruin Rd
Unit A
Norcross, GA 30071

Practitioners & affiliated clinicians

Practitioners 2

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": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1801169297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 BEAVER RUIN RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BEAVER RUIN RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713710",
            "telephone_number": "770-449-9050",
            "fax_number": "770-449-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFIELD CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-449-9050",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "1101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.