Active NPI
Grace Gilbreath, DC
- Pediatric Chiropractor
- Covington, GA
National Provider Identifier
1942796263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- CHIRO10079
- Practice address
- 2125 Pace St Ste B
Covington, GA 30014-6660 - Phone
- (770) 786-2818
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | CHIRO10079 | GA | Primary |
Addresses
Primary practice location
2125 Pace St Ste B
Covington, GA 30014-6660
Mailing address
2125 Pace St Ste B
Covington, GA 30014-6660
Phone (770) 786-2818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1942796263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 PACE ST STE B",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300146660",
"telephone_number": "770-786-2818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 PACE ST STE B",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300146660",
"telephone_number": "770-786-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBREATH",
"first_name": "GRACE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "GA",
"license": "CHIRO10079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.