Individual provider Active NPI

William Paul Early, D.C.

  • Chiropractor
  • Canton, GA
National Provider Identifier
1881994077
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008730 Issued in GA
Practice address
205 Waleska Rd
Suite 1C
Canton, GA 30114-2400
Phone
(678) 880-7576
Fax
(678) 348-7177
NPI assigned
Oct 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008730 GA Primary

Addresses

Primary practice location

205 Waleska Rd
Suite 1C
Canton, GA 30114-2400

Mailing address

205 Waleska Rd
Suite 1C
Canton, GA 30114-2400
Phone (678) 880-7576

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110405000039 GA Practitioner - Chiropractic 0446434153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Advanced Healthcare, LLCGroup PAC ID 2264737923, 3 clinicians

Practice addresses (Care Compare)

3049 Marietta Hwy
Suite 120
Canton, GA 30114-4286
Phone (678) 880-7576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Advanced Healthcare, LLC Chiropractor CurrentSince Dec 7, 2015 Accepting new patients
Medical Associates Professional Services, LLC Chiropractor CurrentSince Jan 1, 2014 Accepting new patients
Northside Primary Care Professional Services,LLC Past Accepting new patients

Locations

3049 Marietta Hwy
Ste 120
Canton, GA 30114
Phone (678) 880-7576

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

3049 Marietta Hwy
Canton, GA 30114

205 Waleska Rd
#C
Canton, GA 30114
Phone (678) 880-7576

1400 Northside Forsyth Dr
Ste 250
Cumming, GA 30041
Phone (770) 889-7118

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1881994077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WALESKA RD",
            "address_2": "SUITE 1C",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142400",
            "telephone_number": "678-880-7576",
            "fax_number": "678-348-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WALESKA RD",
            "address_2": "SUITE 1C",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142400",
            "telephone_number": "678-880-7576",
            "fax_number": "678-348-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLY",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-22",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.