Individual provider Active NPI

Karsten Gary McGowan, DC

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1891287017
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO010051 Issued in GA
Practice address
2250 Satellite Blvd Ste 105
Duluth, GA 30097-4918
Phone
(470) 797-9298
NPI assigned
Jun 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO010051 GA Primary

Addresses

Primary practice location

2250 Satellite Blvd Ste 105
Duluth, GA 30097-4918

Mailing address

2250 Satellite Blvd Ste 105
Duluth, GA 30097-4918
Phone (470) 797-9298

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240426000171 GA Practitioner - Chiropractic 7719229855 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO010051GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
THM Health LLC Chiropractor CurrentSince Dec 25, 2023 Accepting new patients

Locations

2250 Satellite Blvd
Ste 105
Duluth, GA 30097
Phone (470) 797-9298

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1891287017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 SATELLITE BLVD STE 105",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974918",
            "telephone_number": "470-797-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 SATELLITE BLVD STE 105",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974918",
            "telephone_number": "470-797-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "KARSTEN",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO010051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.