Richard John Grostic, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO07653 Issued in GA

Practice address

39 Lance St
Unit 6
Blue Ridge, GA 30513-8024

Phone

(770) 317-7583

NPI assigned

Apr 21, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ridge Chiropractic

  • Chiropractor
  • Blue Ridge, GA
  • NPI 1891220414
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1922533546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 LANCE ST",
            "address_2": "UNIT 6",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305138024",
            "telephone_number": "770-317-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 LANCE ST",
            "address_2": "UNIT 6",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305138024",
            "telephone_number": "770-317-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSTIC",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jena Erin Graves, DDS
• Chelsea Renee Green, BCBA
• Tanya Gregory
• Cynthia Lee Griffith, RN, MHS, CRNA
• Lauren Groover
• Rene Guild, APRN, FNP-BC, CDE
• Andrew Ha, D.P.M.
• Lynn R Hall, RD/LD, CDE
• Travis Keith Hardin, PA-C
• Tanya Hartman, APRN, FNP-C

• Chiropractor in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.