Individual provider Active NPI

Gregory King, D.C.

  • Chiropractor
  • Cumming, GA
National Provider Identifier
1881633055
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO005842 Issued in GA
Practice address
5610 Bethelview Rd Ste 300a
Cumming, GA 30040-7523
Phone
(770) 999-4288
NPI assigned
Jun 5, 2006
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO005842 GA Primary

Addresses

Primary practice location

5610 Bethelview Rd Ste 300a
Cumming, GA 30040-7523

Mailing address

5610 Bethelview Rd Ste 300a
Cumming, GA 30040-7523
Phone (770) 888-4288

Other identifiers 1

IdentifierTypeStateIssuer
CHIR005842OtherGAGA CHIRO LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070301000359 GA Practitioner - Chiropractic 5294837753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2650 Holcomb Bridge Rd
Suite 140
Alpharetta, GA 30022-5335
Phone (770) 888-4288

5610 Bethelview Rd
Suite 300a
Cumming, GA 30040-7523
Phone (770) 992-1828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO005842GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Backsmart Health LLC - North Ga Diagnostic & Rehab CurrentSince Feb 24, 2011 Accepting new patients
Backsmart Health LLC - North Ga Diagnostic & Rehab Chiropractor CurrentSince Feb 24, 2011 Accepting new patients

Locations

2650 Holcomb Bridge Rd
Ste 140
Alpharetta, GA 30022
Phone (770) 451-9494

5485 Bethelview Rd
Ste 320
Cumming, GA 30040
Phone (678) 513-8686

5485 Bethelview Rd
Ste 360
Cumming, GA 30040

5485 Bethelview Rd
Ste 360225
Cumming, GA 30040
Phone (770) 888-4288

5610 Bethelview Rd
Ste 300
Cumming, GA 30040
Phone (770) 887-9443

5610 Bethelview Rd
Ste 300A
Cumming, GA 30040
Phone (770) 992-1828

5770 Bethelview Rd
Ste 800D
Cumming, GA 30040
Phone (770) 883-7586

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1881633055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 BETHELVIEW RD STE 300A",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407523",
            "telephone_number": "770-888-4288",
            "fax_number": "678-947-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 BETHELVIEW RD STE 300A",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407523",
            "telephone_number": "770-999-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO005842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA CHIRO LICENSE",
            "identifier": "CHIR005842",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.