Organization Active NPI

Paulk Chiropractic Stockbridge,Inc

  • Chiropractor
  • Stockbridge, GA
National Provider Identifier
1932259991
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO01074 Issued in GA
Legal business name
PAULK CHIROPRACTIC STOCKBRIDGE,INC
Practice address
9905 N Davidson Pkwy
Suite 107
Stockbridge, GA 30281-4200
Phone
(770) 474-1421
Fax
(770) 474-3704
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George P Paulk, D.C.NPI 1699870238
Title
Owner
Phone
(770) 474-1421

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIRO01074 GA Primary

Addresses

Primary practice location

9905 N Davidson Pkwy
Suite 107
Stockbridge, GA 30281-4200

Mailing address

9905 N Davidson Pkwy
Suite 107
Stockbridge, GA 30281-4200
Phone (770) 474-1421

National Provider Directory

National Provider Directory
Tax ID family
Paulk Chiropractic Stockbridgeinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932259991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 N DAVIDSON PKWY",
            "address_2": "SUITE 107",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814200",
            "telephone_number": "770-474-1421",
            "fax_number": "770-474-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 N DAVIDSON PKWY",
            "address_2": "SUITE 107",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814200",
            "telephone_number": "770-474-1421",
            "fax_number": "770-474-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULK CHIROPRACTIC STOCKBRIDGE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAULK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-474-1421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO01074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.