John A Sproviero, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR006735 Issued in GA

Practice address

551 Riverstone Pkwy
Suite 100
Canton, GA 30114-5292

Phone

(770) 345-4520

Fax

(770) 992-3676

NPI assigned

Sep 19, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Back to Life Medical Group, LLC

  • Family Medicine Physician
  • Canton, GA
  • NPI 1396987152
  NPD

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1801178504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 RIVERSTONE PKWY",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145292",
            "telephone_number": "770-345-4520",
            "fax_number": "770-992-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 RIVERSTONE PKWY",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145292",
            "telephone_number": "770-345-4520",
            "fax_number": "770-992-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROVIERO",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "CHIR006735",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Mark Spitz, MD
• Richard D. Spolzino, O.D.
• Sports Performance & Rehabilitation Institute LLC
• Olukemi Onifade Spradling
• Brittany Mary Sproul, AGACNP-BC
• SSC Canton Operating Company LLC
• Bailey St. Germain
• Courtnay Staab, PA-C
• Stable Orthodontics of Hickory Flat, LLC
• Jessica Marie Stabler

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.