LOCUST GROVE CLINIC, P.C.
NPI 1699964171
Chiropractor in Locust Grove, GA
About Locust Grove Clinic, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOCUST GROVE CLINIC, P.C. (NPI 1699964171) is a healthcare organization registered as a chiropractor in Locust Grove, Georgia and active in the NPI registry since October 2007. The organization lists Peter J Tully, Pres, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Locust Grove Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Locust Grove Clinic, P.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Locust Grove Clinic, P.C.'s NPI number?
The NPI number for Locust Grove Clinic, P.C. is 1699964171. It was assigned to this organization in the NPPES registry on October 19, 2007.
Where is Locust Grove Clinic, P.C. located?
Locust Grove Clinic, P.C. is located at 2648 Highway 42, Locust Grove, GA 30248. The listed phone number is (770) 898-0028.
What is Locust Grove Clinic, P.C.'s specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Locust Grove Clinic, P.C. enrolled in Medicare?
Yes. Locust Grove Clinic, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Locust Grove Clinic, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Locust Grove Clinic, P.C.. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Locust Grove Clinic, P.C. accept?
Health plans from Alliant Health Plans, Inc. list Locust Grove Clinic, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Locust Grove Clinic, P.C. was last updated on October 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Locust Grove Clinic, P.c. · NPI 1699964171
Chiropractor organization in Locust Grove, Georgia. Organization record, active in the CMS NPPES registry since October 19, 2007.
## Identity
- **NPI:** 1699964171 (Entity type: Organization)
- **Enumerated:** October 19, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Peter Tully, PRES
## Practice location
- **Address:** 2648 HIGHWAY 42, Locust Grove, GA 30248-2519
- **Phone:** (770) 898-0028 · **Fax:** (770) 898-7987
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2007
- **Other identifiers:** Other GRP4337 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1699964171) · Data from the CMS NPPES public registry.