Active NPI
Karissa Joy Lacy, DC
- Chiropractor
- Greensboro, GA
National Provider Identifier
1942937248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO10819
- Practice address
- 118 S Main St
Greensboro, GA 30642-1112 - Phone
- (762) 243-8101
- NPI assigned
- Aug 5, 2022
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO10819 | GA | Primary |
Addresses
Primary practice location
118 S Main St
Greensboro, GA 30642-1112
Mailing address
1041 Parkside CMNS Ste 102
Greensboro, GA 30642-4519
Phone (386) 409-1702
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO10819 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1942937248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 PARKSIDE CMNS STE 102",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "306424519",
"telephone_number": "386-409-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 S MAIN ST",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "306421112",
"telephone_number": "762-243-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACY",
"first_name": "KARISSA",
"middle_name": "JOY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-05",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO10819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.