Individual provider Active NPI

Brian Glen Gregg, DC

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1871624478
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006078 Issued in GA
Practice address
3237 S Cherokee LN
Suite 1130
Woodstock, GA 30188-4793
Phone
(678) 494-0320
Fax
(678) 494-0340
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006078 GA Primary

Addresses

Primary practice location

3237 S Cherokee LN
Suite 1130
Woodstock, GA 30188-4793

Mailing address

3237 S Cherokee LN
Suite 1130
Woodstock, GA 30188-4793
Phone (678) 494-0320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050316001027 GA Practitioner - Chiropractic 0244285872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12910 Hwy 92
Suite 108
Woodstock, GA 30188-4202

3237 S Cherokee Lane
Suite 1130
Woodstock, GA 30188-4793
Phone (678) 494-0320

3237 S Cherokee LN
Suite 1130
Woodstock, GA 30188-4793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg Chiropractic Center, Inc. Chiropractor CurrentSince May 1, 2003 Accepting new patients

Locations

12910 Highway 92
Ste 108
Woodstock, GA 30188
Phone (678) 494-0320

3237 S Cherokee Ln
Ste 1130
Woodstock, GA 30188
Phone (678) 494-0320

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1871624478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 S CHEROKEE LN",
            "address_2": "SUITE 1130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884793",
            "telephone_number": "678-494-0320",
            "fax_number": "678-494-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 S CHEROKEE LN",
            "address_2": "SUITE 1130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884793",
            "telephone_number": "678-494-0320",
            "fax_number": "678-494-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "BRIAN",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.