ADAIRSVILLE CHIROPRACTIC CENTER (NPI# 1902012396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902012396 |
| Entity Type | Organization |
| Organization Name | ADAIRSVILLE CHIROPRACTIC CENTER |
| Other Organization Name | CALHOUN SPINE CARE |
| Practice Address |
127 Wc Bryant Pkwy Ste A Calhoun GA 30701-2654 |
| Practice Telephone | 7066294999 |
| Practice Fax Number | 7066294799 |
| Mailing Telephone | 7066294999 |
| Mailing Fax Number | 7066294799 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | DR. BLAKELEY REID DERRICK (PRESIDENT) |
| Authorized Official Telephone | 7066294999 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR007201 | GA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Calhoun Spine Care | Doing Business As Name - Organization |
| Street Address |
127 WC BRYANT PKWY STE A |
| City | CALHOUN |
| State | GA |
| Zip Code | 30701-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750440053 | Blakeley R Derrick | Chiropractor | 127 Wc Bryant Pkwy, Ste A, Calhoun, GA 30701-2654 | 2006-12-06 |
| 1194932624 | Kathryn Tilley Derrick | Dietitian, Registered | 127 Wc Bryant Pkwy, Ste A, Calhoun, GA 30701-2654 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1639714140 | Alexis Mann | Counselor | 629 Harkins Street, Calhoun, GA 30701 | 2019-11-08 |
| 1649812322 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 225 Lovers Lane, Calhoun, GA 30701 | 2019-10-14 |
| 1225679186 | Alexandra Halleck | Physical Therapy Assistant | 1387 Hwy 41 N, Calhoun, GA 30701 | 2019-10-02 |
| 1508325432 | Angela Munyan Chin | Nurse Practitioner | 1754 Everett Springs Rd Ne, Calhoun, GA 30701 | 2019-03-19 |
| 1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
| 1568990018 | Katherine Ann Hayes | Physical Therapy Assistant | Blue Ridge Nursing Home Calhoun, 1387 Us 41 N, Calhoun, GA 30701 | 2017-05-30 |
| 1639566508 | Moslem Eskandari | Pharmacist | 1101 Red Bud Rd, Calhoun, GA 30701 | 2015-04-18 |
| 1366882367 | Stella P. Bonner | Dentist | 500 South Wall St., Calhoun, GA 30701 | 2013-07-05 |
| 1417393885 | New Serenity Inc | Clinic/Center | 1321 Hwy 41 N, Calhoun, GA 30701 | 2013-05-13 |
| Find all providers in zip 30701 | ||||
| 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 |
|---|---|---|---|---|
| 1073172938 | Taylor Ladell Jacobs | Chiropractor | 1012 S Wall St Ste A, Calhoun, GA 30701-3066 | 2019-06-13 |
| 1437595766 | Ledford Chiropractic, P.C. | Chiropractor | 200 Professional Ct Se, Suite 1, Calhoun, GA 30701-7020 | 2013-05-14 |
| 1851652432 | Catherine Harris Mayberry | Chiropractor | 200 Professional Ct Se Ste 1, Calhoun, GA 30701-7020 | 2012-05-31 |
| 1194025320 | Peace of Life Chiropractic, LLC | Chiropractor | 998 Hwy 80e, Calhoun, LA 71225 | 2010-10-21 |
| 1356658058 | Taryn Lowery | Chiropractor | 309 Parks Ln, Calhoun, LA 71225-8542 | 2010-09-02 |
| 1639345069 | Max D Proctor | Chiropractor | 510 W Belmont Dr, Calhoun, GA 30701-3018 | 2008-05-06 |
| 1558550426 | Davis Family Chiropractic, Inc | Chiropractor | 398 Curtis Parkway Ne, Calhoun, GA 30701-7030 | 2007-10-17 |
| 1427113182 | Jason Craig Ledford | Chiropractor | 374 S Piedmont St, Calhoun, GA 30701-2476 | 2006-12-23 |
| 1760542344 | Rochelle Lynn Davis | Chiropractor | 398 Curtis Pkwy Ne, Calhoun, GA 30701-2084 | 2006-12-12 |
| 1750440053 | Blakeley R Derrick | Chiropractor | 127 Wc Bryant Pkwy, Ste A, Calhoun, GA 30701-2654 | 2006-12-06 |
| Find all providers in CALHOUN | ||||
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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.