Dr J Myra Sargent DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR J MYRA SARGENT DC PC

Practice address

1380 Cleveland Avenue
Main Street Clinic
East Point, GA 30344-6959

Phone

(404) 765-0021

Fax

(404) 765-0323

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. J Myra Sargent, DC PC

Title

President

Phone

(404) 765-0021

Specialties & licenses 2

Addresses

Other names 1

• Main Street Clinic Other name

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1992923973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 TERRACE CT",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30082",
            "telephone_number": "404-765-0021",
            "fax_number": "404-765-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 CLEVELAND AVENUE",
            "address_2": "MAIN STREET CLINIC",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446959",
            "telephone_number": "404-765-0021",
            "fax_number": "404-765-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR J MYRA SARGENT DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "SARGENT",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "MYRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-765-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC PC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in East Point, GA
• Providers in East Point, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.