Organization Active NPI

Monroe Sports and Family Chiropractic,Inc

Doing business as Alcovy Sports and Family Chiropractic

  • Medical Specialty Clinic/Center
  • Monroe, GA
National Provider Identifier
1902108467
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
CHIR006524 Issued in GA
Legal business name
MONROE SPORTS AND FAMILY CHIROPRACTIC,INC
Doing business as
Alcovy Sports and Family Chiropractic
Practice address
311 Alcovy St
Monroe, GA 30655-2139
Phone
(770) 207-5454
Fax
(770) 207-9465
NPI assigned
Dec 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Mrs. Katherine Ann Schraub
Title
Ceo
Phone
(770) 207-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X CHIR006524 GA Primary

Addresses

Primary practice location

311 Alcovy St
Monroe, GA 30655-2139

Mailing address

PO Box 1658
Monroe, GA 30655-6658
Phone (770) 207-5454

Other names 1

  • Alcovy Sports and Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

311 Alcovy St
Monroe, GA 30655
Phone (770) 207-5454

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1902108467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1658",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306556658",
            "telephone_number": "770-207-5454",
            "fax_number": "770-207-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ALCOVY ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552139",
            "telephone_number": "770-207-5454",
            "fax_number": "770-207-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE SPORTS AND FAMILY CHIROPRACTIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "SCHRAUB",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-207-5454",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "CHIR006524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alcovy Sports and Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.