P Praxis·MD
● Active Type 1 · Individual

Bruce Costello, DC

Chiropractor·Conyers, GA· NPI 1184974651 · Enumerated 2012 · 13 years on NPI
Costello is 1 of 3 chiropractor providers in Conyers and 1 of 171 in Georgia.
NPI age
13 years
Enumerated 2012-09-12
Primary specialty
Chiropractor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-09-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 171 active chiropractor providers in Georgia.

NPI age
13 years
↓ 5 yr below median (18 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-09Enumerated in NPPES
2012 2026

Where they practice

Practice location
2365 Wall St Se, Suite 100
Conyers, GA 300132197
📞 7709228187fax 7709229107
Mailing address
455 Riverbend Dr
McDonough, GA 302524110
📞 4043543111

Specialties

  • Chiropractor Primary
    Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational...
    GA license #CHIR002554 taxonomy 111NR0400X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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