Kerry Elliott DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR001771 Issued in GA

Legal business name

KERRY ELLIOTT DC PC

Practice address

34 Greenville St
Newnan, GA 30263-2602

Phone

(770) 253-2073

Fax

(770) 251-4202

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Kerry Elliott, D.C.NPI 1235230954

Title

President

Phone

(770) 253-2073

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Kerry Elliott, DC

  • Chiropractor
  • Newnan, GA
  • NPI 1235230954
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972647089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GREENVILLE ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632602",
            "telephone_number": "770-253-2073",
            "fax_number": "770-251-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GREENVILLE ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632602",
            "telephone_number": "770-253-2073",
            "fax_number": "770-251-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY ELLIOTT DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-253-2073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR001771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00703282A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Michelle Kennedy, PHARMD
• Alona Shanice Kenneybrew
• Kent Alan Voyce OD PC
• Erin G Kent, DPT
• Ann Marie Kerlin, PH.D., L.P.C.
• Mary Ansley Kersey, DPT
• Kert D Jolley DMD, PC
• Ryan Mathew Kervin
• Chad M. Kessler, MD
• Reinhard Ketsche, M.D.

• Chiropractor in Newnan, GA
• Providers in Newnan, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.