Teresa Grace Fourre, D.C., CNMT

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIR006079 Issued in GA

Practice address

4080 Holly Springs Pkwy
Canton, GA 30115-7410

Phone

(770) 345-7885

Fax

(770) 345-7883

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• 100 Percent Chiropractic Ribley, LLC

  • Chiropractor
  • Canton, GA
  • NPI 1144792789
  Medicare reassignment
• Alive Touch Health Center

  • Nutrition Chiropractor
  • Canton, GA
  • NPI 1447486477
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972642296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "HOLLY SPRINGS",
            "state": "GA",
            "postal_code": "301420009",
            "telephone_number": "770-345-7885",
            "fax_number": "770-345-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 HOLLY SPRINGS PKWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301157410",
            "telephone_number": "770-345-7885",
            "fax_number": "770-345-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURRE",
        "first_name": "TERESA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "D.C., CNMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR006079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "52726673",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forever Home Care LLP
• Marjan Forouzan, PHARMD
• Isabelle Foster, RD
• Jennifer Michelle Foster, MA, CD, IBCLC, RLC
• Sydney Foster
• Leyla Fowe Makue, MD
• Billy Fowler
• Lane Andrew Fowler, MD
• Donna Fox
• Anthony Franco, DPT

• Rehabilitation Chiropractor in Canton, GA
• Providers in Canton, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.