Timothy Patrick Conroy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010275 Issued in GA

Practice address

1415 Barclay Cir SE
Marietta, GA 30060-2943

Phone

(770) 426-2786

Fax

(770) 792-6113

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life University, Inc.Group PAC ID 7214927284, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.conroy.p1@direct.life.nextgenshare.com

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.

• Life University, Inc

  • Clinic/Center
  • Marietta, GA
  • NPI 1902033343

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Life University Inc

  • Chiropractor
  • San Juan, PR
  • NPI 1508580978
  NPD

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1912047366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BARCLAY CIR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602943",
            "telephone_number": "770-426-2786",
            "fax_number": "770-792-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BARCLAY CIR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602943",
            "telephone_number": "770-426-2786",
            "fax_number": "770-792-6113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 US Highway 22 W",
            "address_purpose": "LOCATION",
            "city": "North Plainfield",
            "state": "NJ",
            "postal_code": "070604924",
            "country_code": "US",
            "telephone_number": "908-754-0044",
            "fax_number": "908-537-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONROY",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00324200",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.