Organization Active NPI

Sports Chiropractic Center Inc

  • Chiropractor
  • Alpharetta, GA
National Provider Identifier
1861675811
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR00007311 Issued in GA
Legal business name
SPORTS CHIROPRACTIC CENTER INC
Practice address
8460 Holcomb Bridge Rd
120
Alpharetta, GA 30022-6868
Phone
(770) 993-3200
Fax
(770) 641-8017
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Dr. Deborah Lynn Pearson, DC
Title
President
Phone
(770) 993-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR00007311 GA Primary

Addresses

Primary practice location

8460 Holcomb Bridge Rd
120
Alpharetta, GA 30022-6868

Mailing address

8460 Holcomb Bridge Rd
120
Alpharetta, GA 30022-6868
Phone (770) 993-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001644 GA Part B Supplier - Clinic/Group Practice 4183617012 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA

National Provider Directory

National Provider Directory

Locations

8470 Holcomb Bridge Rd
Ste 150
Alpharetta, GA 30022
Phone (770) 992-3200

2880 Holcomb Bridge Rd
Ste 124
Alpharetta, GA 30022
Phone (770) 993-3200

8460 Holcomb Bridge Rd
#120
Alpharetta, GA 30022
Phone (770) 993-3200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1861675811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8460 HOLCOMB BRIDGE RD",
            "address_2": "120",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226868",
            "telephone_number": "770-993-3200",
            "fax_number": "770-641-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8460 HOLCOMB BRIDGE RD",
            "address_2": "120",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226868",
            "telephone_number": "770-993-3200",
            "fax_number": "770-641-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-993-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR00007311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.