Organization Active NPI

Lake City Chiropractic Center

  • Chiropractor
  • Acworth, GA
National Provider Identifier
1881962942
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LAKE CITY CHIROPRACTIC CENTER
Practice address
4500 Main St. Suite104
Acworth, GA 30101-5400
Phone
(770) 529-0566
Fax
(770) 529-0572
NPI assigned
Dec 5, 2011
Last updated
Jul 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Ms. Christine P McCartney
Title
Owner
Phone
(770) 529-0566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

4500 Main St. Suite104
Acworth, GA 30101-5400

Mailing address

4500 S Main St Ste 104
Acworth, GA 30101-5400
Phone (770) 529-0566

National Provider Directory

National Provider Directory

Locations

4500 S Main St
Ste 104
Acworth, GA 30101
Phone (706) 224-2924

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1881962942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S MAIN ST STE 104",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015400",
            "telephone_number": "770-529-0566",
            "fax_number": "770-529-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MAIN ST. SUITE104",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015400",
            "telephone_number": "770-529-0566",
            "fax_number": "770-529-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "MCCARTNEY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-529-0566",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.