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DR. CHARLES D. LECROY D.C.
NPI 1184789042
Chiropractor in Canton, GA

Active since December 22, 2006
3542 SIXES RD, STE 100, CANTON, GA 30114(770) 720-1388(770) 720-1389 Get Directions Write a Review

NPPES record last updated: March 3, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Charles D. Lecroy D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES D. LECROY D.C. (NPI 1184789042) is an individual chiropractor in Canton, Georgia, licensed in Georgia (CHIR008065) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1184789042
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CHARLES D. LECROYCredential: D.C.
Location Address3542 SIXES RD, STE 100Canton, GA 30114-9124
Mailing Address830 Lake Ridge CtCanton, GA 30114-8995 · (404) 348-7250 · Fax (770) 720-1389
Phone(770) 720-1388
Fax(770) 720-1389
Sole ProprietorYes
Enumeration DateDecember 22, 2006
Last NPPES UpdateMarch 3, 2011
✔ NPI 1184789042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR008065
Definition
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.
3542 SIXES RD, Canton, GA 30114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles D. Lecroy D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Charles Lecroy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Georgia Chiropractic Group At Sixes
Same address
Chiropractor
3542 SIXES RD, STE 100
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
NPI 1518199165 (770) 720-1388

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIDGEMILL HEALTH GROUP LLC
Family Medicine
3542 SIXES RD, SUITE 100
CANTON, GA 30114
Cherokee County (678) 880-6118
GEORGIA CHIROPRACTIC GROUP AT SIXES
Chiropractor
3542 SIXES RD, STE 100
CANTON, GA 30114
Cherokee County (770) 720-1388

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Lecroy's NPI number?

The NPI number for Charles Lecroy is 1184789042. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Charles Lecroy located?

Charles Lecroy practices at 3542 Sixes Rd Ste 100, Canton, GA 30114. The listed phone number is (770) 720-1388.

What is Charles Lecroy's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Charles Lecroy enrolled in Medicare?

Yes. Charles Lecroy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Lecroy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Lecroy reassigns Medicare benefits to Georgia Chiropractic Group At Sixes (Canton, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Lecroy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Lecroy was last updated on March 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.