Active NPI
Preston D Cutler, DC
- Chiropractor
- Jonesboro, GA
National Provider Identifier
1861507410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1126
- Practice address
- 2672 Mt Zion Rd
Jonesboro, GA 30236 - Phone
- (770) 968-1055
- Fax
- (770) 968-1055
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1126 | GA | Primary |
Addresses
Primary practice location
2672 Mt Zion Rd
Jonesboro, GA 30236
Mailing address
PO Box 1433
Joneboro, GA 30237-1433
Phone (770) 968-1055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00568202A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061023000255 | GA | Practitioner - Chiropractic | 8729085469 | Practice locations: Jonesboro, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2672 Mount Zion Rd
Jonesboro, GA 30236-6819
Phone (770) 968-1055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1126 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861507410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1433",
"city": "JONEBORO",
"state": "GA",
"postal_code": "302371433",
"telephone_number": "770-968-1055",
"fax_number": "770-968-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2672 MT ZION RD",
"city": "JONESBORO",
"state": "GA",
"postal_code": "30236",
"telephone_number": "770-968-1055",
"fax_number": "770-968-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTLER",
"first_name": "PRESTON",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "1126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00568202A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, 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.