DR. DANIEL CLAY JOHNSTON (NPI# 1629343538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629343538 |
| Entity Type | Individual |
| Full Name | DR. DANIEL CLAY JOHNSTON |
| Credential | D.C. |
| Practice Address |
1130 Senoia Rd Suite B4 Tyrone GA 30290-1678 |
| Mailing Address |
570 Grand Teton Cir Fayetteville GA 30215-5282 |
| Practice Telephone | 3347995637 |
| Mailing Telephone | 3347995637 |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR008900 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114368925 | Daniel Thomas Johnston | Military Health Care Provider | Mcm Crew Bulwark, Fpo, AP 96601-0201 | 2013-07-09 |
| 1639248982 | Daniel H Johnston | Psychologist | 144 Pierce Ave, Macon, GA 31204-2860 | 2006-11-08 |
| 1891727137 | Daniel Morgan Johnston | Physical Therapist | 500 Paseo Camarillo # 105, Camarillo, CA 93010-5900 | 2006-07-07 |
| 1831161744 | Daniel P. Johnston | Optometrist | 923 Paoli Pike, West Chester, PA 19380-4527 | 2006-02-03 |
| 1750731535 | Daniel Levi Johnston | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2016-06-13 |
| 1790154276 | Daniel Travis Johnston | Specialist/Technologist | 100 Perimeter Road, Clemson, SC 29633-0031 | 2015-09-15 |
| 1881034890 | Daniel Travis Johnston | Dentist | 101 N Industrial Rd, Suite A., Tupelo, MS 38801-3441 | 2013-07-05 |
| 1669818936 | Daniel Johnston | Counselor | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2013-05-14 |
| 1487885596 | Daniel P Johnston | Physician Assistant | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2009-08-06 |
| 1891922712 | Daniel Alan Johnston | Physical Therapy Assistant | 115 S Washington St, Ottumwa, IA 52501-2531 | 2009-06-18 |
| Street Address |
1130 SENOIA RD SUITE B4 |
| City | TYRONE |
| State | GA |
| Zip Code | 30290-1678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912459975 | Elizabeth Lindsey | Occupational Therapist | 1130 Senoia Rd, Suite A1, Tyrone, GA 30290-1678 | 2016-10-25 |
| 1548645062 | Southside Family Chiropractic LLC | Chiropractor | 1130 Senoia Rd, Suite B-4, Tyrone, GA 30290-1678 | 2015-07-27 |
| 1447526140 | Tatum Shepard | Chiropractor | 1130 Senoia Rd, Tyrone, GA 30290-1678 | 2012-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407215361 | Kaitlin Lackey | Occupational Therapist | 105 Glendalough Court, Suite H, Tyrone, GA 30290 | 2016-02-19 |
| 1114211745 | Johannes Daniel Smit | Pharmacist | 525 Valleywood Drive, Tyrone, GA 30290 | 2011-05-31 |
| 1760700199 | Georgia Integrative Medicine | Preventive Medicine | 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 | 2010-05-10 |
| 1427384783 | Exelle Home Care | Home Health | 105 Silverthorn Drive, Tyrone, GA 30290 | 2009-10-21 |
| 1386884138 | Genesys Ob/gyn, LLC | Clinic/Center | 245 Greencastle Road, Tyrone, GA 30290 | 2009-03-05 |
| 1689858805 | Immediate Care Centers of Georgia, LLC | Clinic/Center | 190 Greencastle Rd., Tyrone, GA 30290 | 2007-12-24 |
| 1437212834 | Dawn M Coffman | Physician Assistant | 190 Handley Rd., Tyrone, GA 30290 | 2006-12-18 |
| 1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
| 1053898759 | Heather Renee Ellis | Physical Therapist | 62 Carriage Oaks Dr, Tyrone, GA 30290 | 2018-07-25 |
| 1134630858 | Marjorie Yvette Elibert | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290 | 2017-10-20 |
| Find all providers in zip 30290 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336765924 | Nexus Chiropractic LLC | Chiropractor | 120 Handley Rd Ste 220, Tyrone, GA 30290-2176 | 2020-06-19 |
| 1538222872 | Larry Michael Koren | Chiropractor | Rd 4 Box 3a, Tyrone, PA 16686 | 2006-12-18 |
| 1538261284 | Eric A Shearer | Chiropractor | 105 Greencastle Rd Ste B, Tyrone, GA 30290-2945 | 2006-09-02 |
| 1669582599 | Sharon Marie Loggins | Chiropractor | 909 Senoia Rd Ste A, Tyrone, GA 30290-6805 | 2006-08-30 |
| 1164536751 | Fredrick James Moore | Chiropractor | 5523 E Pleasant Valley Blvd, Suite #3, Tyrone, PA 16686-8570 | 2006-08-19 |
| 1124639620 | Art of Life Chiropractic LLC | Chiropractor | 105 Greencastle Rd Ste B, Tyrone, GA 30290-2945 | 2020-08-10 |
| 1548645062 | Southside Family Chiropractic LLC | Chiropractor | 1130 Senoia Rd, Suite B-4, Tyrone, GA 30290-1678 | 2015-07-27 |
| 1346509635 | Dr Anna Chiropractor Services LLC | Chiropractor | 510 Swanson Rd, Tyrone, GA 30290-6900 | 2012-05-08 |
| 1447526140 | Tatum Shepard | Chiropractor | 1130 Senoia Rd, Tyrone, GA 30290-1678 | 2012-03-27 |
| 1508188210 | Peter John Bauth | Chiropractor | 510 Swanson Rd, Tyrone, GA 30290-6900 | 2010-02-22 |
| Find all providers in TYRONE | ||||
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| 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.