Core Chiropractic Clinic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006253 Issued in GA

Legal business name

CORE CHIROPRACTIC CLINIC INC.

Practice address

6602 Church St
Douglasville, GA 30134-1808

Phone

(770) 942-2396

Fax

(770) 942-1788

NPI assigned

Feb 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David Michael Lebhaft, D.C.NPI 1205987799

Title

President

Phone

(770) 942-2396

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• David Michael Lebhaft, D.C.

  • Chiropractor
  • Douglasville, GA
  • NPI 1205987799
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1891069688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 CHURCH ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341808",
            "telephone_number": "770-942-2396",
            "fax_number": "770-942-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 CHURCH ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341808",
            "telephone_number": "770-942-2396",
            "fax_number": "770-942-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "LEBHAFT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-942-2396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Cooper, DO
• Vernardus Cooper
• John P. Copeland Jr., PT
• Mariah Corcoran
• Zakiyyah Cordell, BCBA
• Core Wellness Center LLC
• Andrea Corley
• Cornerstone Caregiving East LLC
• Cornerstone Pediatrics, Inc.
• Kathryn Cotter, OD

• Chiropractor in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.