Individual provider Active NPI

Patricia A Herrmann, D.C.

  • Chiropractor
  • Stockbridge, GA
National Provider Identifier
1952492340
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR6712 Issued in GA
Practice address
616 Eagles Landing Pkwy # 10
Stockbridge, GA 30281-5096
Phone
(678) 565-1500
Fax
(678) 565-7411
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR6712 GA Primary

Addresses

Primary practice location

616 Eagles Landing Pkwy # 10
Stockbridge, GA 30281-5096

Mailing address

616 Eagles Landing Pkwy # 10
Stockbridge, GA 30281-5096
Phone (678) 565-1500

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

LicenseStateTypeSpecialty
CHIR6712GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pizza Clinic of Chiropractic Chiropractor PastSince Aug 2, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1952492340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 EAGLES LANDING PKWY # 10",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815096",
            "telephone_number": "678-565-1500",
            "fax_number": "678-565-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 EAGLES LANDING PKWY # 10",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815096",
            "telephone_number": "678-565-1500",
            "fax_number": "678-565-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR6712",
            "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 May 18, 2011; 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.