BALLARD CHIROPRACTIC & ASSOCIATES LLC (NPI# 1417504028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417504028 |
Entity Type | Organization |
Organization Name | BALLARD CHIROPRACTIC & ASSOCIATES LLC |
Practice Address |
1715 Buford Dr Lawrenceville GA 30043-3213 |
Practice Telephone | 7702771650 |
Mailing Telephone | 7702771650 |
Mailing Fax Number | 7702770451 |
Enumeration Date | 2019-08-20 |
Last Update Date | 2019-08-20 |
Authorized Official Name | DR. ROBERT BRANDON BALLARD (OWNER) |
Authorized Official Telephone | 7702771650 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | INDIVIDUAL NPI | 1659727055 | 01 |
Other Name | Type Code |
---|---|
Ballard Chiropractic | Doing Business As Name - Organization |
Street Address |
1715 BUFORD DR |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30043-3213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821263948 | Wilber Chiropractic Clinic | Chiropractor | 1715 Buford Dr, Lawrenceville, GA 30043-3213 | 2008-04-29 |
1659727055 | Robert Brandon Ballard | Chiropractor | 1715 Buford Dr, Lawrenceville, GA 30043 | 2016-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
Find all providers in zip 30043 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
1518438555 | Zenia 2 LLC, Dba Brite Life Primary Care | Clinic/Center | 930 New Hope Rd Ste 10, Lawrenceville, GA 30045-3837 | 2018-12-17 |
1699131888 | Zenia 2 LLC, Dba Sugarloaf Primary Care | Clinic/Center | 4835 Sugarloaf Pkwy Suite 300, Lawrenceville, GA 30044 | 2016-01-05 |
1548517253 | Alpha Medical Clinic | Clinic/Center | 5 Hurricane Shoals Rd Ne Ste A, Lawrenceville, GA 30046-4583 | 2012-08-13 |
1417238106 | Concentra Primary Care Pa | Clinic/Center | 3330 Sugarloaf Parkway, Suite Ol1d, Lawrenceville, GA 30044 | 2011-09-08 |
1487120820 | Comprehensive Primary Care LLC | Clinic/Center | 761 Walther Road, Suite 200, Lawrenceville, GA 30046 | 2018-10-23 |
1811422322 | Hillandale Primary Care | Clinic/Center | 1950 Riverside Pkwy, Suite # 100, Lawrenceville, GA 30043-5918 | 2017-04-23 |
1588022438 | Gwinnett Family Medicine and Geriatrics | Clinic/Center | 706 Grayson Hwy, Suite 215, Lawrenceville, GA 30046-5736 | 2016-02-08 |
1407220775 | Eugene Medical Clinic | Clinic/Center | 248 E Crogan St Ste 2, Lawrenceville, GA 30046-5069 | 2015-11-24 |
1073993655 | Smartcare, LLC | Clinic/Center | 696 Grayson Hwy, Lawrenceville, GA 30046-6372 | 2015-06-09 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30043 |
Please comment or provide details below to improve the information on BALLARD CHIROPRACTIC & ASSOCIATES LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.