Organization Active NPI

Adairsville Chiropractic Center

Doing business as Calhoun Spine Care

  • Chiropractor
  • Calhoun, GA
National Provider Identifier
1902012396
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007201 Issued in GA
Legal business name
ADAIRSVILLE CHIROPRACTIC CENTER
Doing business as
Calhoun Spine Care
Practice address
150 JW Plaza Dr SE
Calhoun, GA 30701-1500
Phone
(706) 629-4999
Fax
(706) 629-4799
NPI assigned
May 15, 2007
Last updated
Jan 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Dr. Blakeley Reid Derrick, D.C.NPI 1750440053
Title
President
Phone
(706) 629-4999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CHIR007201 GA Primary

Addresses

Primary practice location

150 JW Plaza Dr SE
Calhoun, GA 30701-1500

Mailing address

150 JW Plaza Dr SE
Calhoun, GA 30701-1500
Phone (706) 629-4999

Other names 1

  • Calhoun Spine Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070822000021 GA Part B Supplier - Clinic/Group Practice 5698867794 Receives reassigned benefits from 1 practitioner
Practice locations: Calhoun, GA

National Provider Directory

National Provider Directory

Locations

6103 Joe Frank Harris Pkwy NW
Ste G
Adairsville, GA 30103
Phone (770) 773-7144

127 Wc Bryant Pkwy
Ste A
Calhoun, GA 30701
Phone (706) 602-9255

150 Jw Plaza Dr SE
Calhoun, GA 30701
Phone (706) 629-4999

201 S Park Ave
Calhoun, GA 30701
Phone (706) 623-6395

Practitioners & affiliated clinicians

Practitioners 1

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1902012396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 JW PLAZA DR SE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011500",
            "telephone_number": "706-629-4999",
            "fax_number": "706-629-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 JW PLAZA DR SE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011500",
            "telephone_number": "706-629-4999",
            "fax_number": "706-629-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIRSVILLE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "DERRICK",
        "authorized_official_first_name": "BLAKELEY",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-629-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calhoun Spine Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.