Organization Active NPI

Still Waters Family Chiropractic, LLC

  • Clinic/Center
  • Canton, GA
National Provider Identifier
1992975221
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CHIRO08321 Issued in GA
Legal business name
STILL WATERS FAMILY CHIROPRACTIC, LLC
Practice address
200 Eagles Nest Dr
Building 300, Suite a
Canton, GA 30114-5525
Phone
(770) 479-0655
NPI assigned
Mar 3, 2008
Last updated
Mar 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. David L Marshall, D.C.NPI 1578741799
Title
Doctor
Phone
(770) 479-0655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CHIRO08321 GA Primary

Addresses

Primary practice location

200 Eagles Nest Dr
Building 300, Suite a
Canton, GA 30114-5525

Mailing address

200 Eagles Nest Dr
Building 300, Suite a
Canton, GA 30114-5525
Phone (770) 479-0655

National Provider Directory

National Provider Directory

Locations

104 Main St
Byron, GA 31008
Phone (478) 956-0414

200 Eagles Nest Dr
Bldg 300A
Canton, GA 30115
Phone (770) 479-0655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1992975221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAGLES NEST DR",
            "address_2": "BUILDING 300, SUITE A",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145525",
            "telephone_number": "770-479-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAGLES NEST DR",
            "address_2": "BUILDING 300, SUITE A",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145525",
            "telephone_number": "770-479-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "770-479-0655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CHIRO08321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.