Organization Active NPI

Starbridge Chiropractic, Inc.

  • Chiropractor
  • Murrayville, GA
National Provider Identifier
1942545280
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR001496 Issued in GA
Legal business name
STARBRIDGE CHIROPRACTIC, INC.
Practice address
326 Starbridge Rd
Murrayville, GA 30564-2817
Phone
(706) 864-0882
Fax
(706) 867-7969
NPI assigned
Nov 27, 2012
Last updated
Nov 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Dr. Donna A Sullivan, D.C.
Title
Owner
Phone
(706) 864-0882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR001496 GA Primary

Addresses

Primary practice location

326 Starbridge Rd
Murrayville, GA 30564-2817

Mailing address

326 Starbridge Rd
Murrayville, GA 30564-2817
Phone (706) 864-0882

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1942545280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 STARBRIDGE RD",
            "city": "MURRAYVILLE",
            "state": "GA",
            "postal_code": "305642817",
            "telephone_number": "706-864-0882",
            "fax_number": "706-867-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 STARBRIDGE RD",
            "city": "MURRAYVILLE",
            "state": "GA",
            "postal_code": "305642817",
            "telephone_number": "706-864-0882",
            "fax_number": "706-867-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARBRIDGE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-864-0882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR001496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrayville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.