Campbell Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6054 Issued in GA

Legal business name

CAMPBELL CHIROPRACTIC, INC.

Practice address

802 Dacula Rd
Suite 202
Dacula, GA 30019-3324

Phone

(770) 236-9355

Fax

(770) 236-9357

NPI assigned

May 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Marcia R.P. Campbell, D.C.NPI 1730369604

Title

President/Chiropractor

Phone

(770) 236-9355

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.

• Marcia Raylene Pritchett Campbell, D.C.

  • Chiropractor
  • Dacula, GA
  • NPI 1730369604
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1902199078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1930",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300190033",
            "telephone_number": "770-236-9355",
            "fax_number": "770-236-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 DACULA RD",
            "address_2": "SUITE 202",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300193324",
            "telephone_number": "770-236-9355",
            "fax_number": "770-236-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "R.P.",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "770-236-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yentl Butler, NP
• Butucha Wellness LLC
• C & Y Doctors of Optometry, Inc
• C&C Consulting Services, LLC
• Nadia Cajuste
• Charlie Campbell
• Chelsea Campbell, MS CCC-SLP
• Marcia Raylene Pritchett Campbell, D.C.
• Jennifer Suzanne Cantrell, CPNP
• Yadira Cardona-Rohena, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.