Active NPI
Jamie Lessard, DC
- Chiropractor
- Woodstock, GA
National Provider Identifier
1891464426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO10418
- Practice address
- 1000 Woodstock Pkwy Ste 160
Woodstock, GA 30188-4856 - Phone
- (678) 388-7788
- NPI assigned
- Sep 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO10418 | GA | Primary |
Addresses
Primary practice location
1000 Woodstock Pkwy Ste 160
Woodstock, GA 30188-4856
Mailing address
1000 Woodstock Pkwy Ste 160
Woodstock, GA 30188-4856
Phone (678) 388-7788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO10418 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1891464426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WOODSTOCK PKWY STE 160",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301884856",
"telephone_number": "678-388-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WOODSTOCK PKWY STE 160",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301884856",
"telephone_number": "678-388-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSARD",
"first_name": "JAMIE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-08",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO10418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.