Timothy M Gregory, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR005801 Issued in GA

Practice address

1575 Old Alabama Rd Ste 105
Roswell, GA 30076-2133

Phone

(404) 721-4406

Fax

(404) 601-5101

NPI assigned

Feb 28, 2011

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Performance Sport and Spine

  • Chiropractor
  • Roswell, GA
  • NPI 1841798279
  Medicare reassignment NPD Authorized official
• Complete Family Healthcare

  • Chiropractor
  • Alpharetta, GA
  • NPI 1770523003
  NPD (past)

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1821396854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BIRCHTON ST",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300227649",
            "telephone_number": "404-886-9403",
            "fax_number": "678-352-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 OLD ALABAMA RD STE 105",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762133",
            "telephone_number": "404-721-4406",
            "fax_number": "404-601-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Birchton St",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300227649",
            "country_code": "US",
            "telephone_number": "404-886-9403",
            "fax_number": "678-352-0917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-28",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Greene, RBT
• Greenline Medical Corporation
• Mark Greenspan, MSPT
• Jodi M. Greenwald, M.D.
• Theresia Lynn Greer, LMT
• Stephanie Gresham
• Miranda Griffeth, CNM, WHNP-BC
• David Gordon Griffin
• Lesa McConnell Griffin, P.T.
• Lisa Ann Griffin, COTA/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.