Organization Active NPI

Performance Injury Center LLC.

  • Chiropractor
  • Decatur, GA
National Provider Identifier
1003067828
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2973 Issued in GA
Legal business name
PERFORMANCE INJURY CENTER LLC.
Practice address
4294 Memorial Dr
Suite D
Decatur, GA 30032-1226
Phone
(404) 296-4888
Fax
(404) 296-8811
NPI assigned
Oct 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Adebukola Akintoye, MD
Title
Medical Director
Phone
(404) 296-4888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2973 GA Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 038164 GA

Addresses

Primary practice location

4294 Memorial Dr
Suite D
Decatur, GA 30032-1226

Mailing address

4294 Memorial Dr
Suite D
Decatur, GA 30032-1226
Phone (404) 296-4888

National Provider Directory

National Provider Directory

Locations

4294 Memorial Dr
Ste D
Decatur, GA 30032
Phone (404) 296-4888

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1003067828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4294 MEMORIAL DR",
            "address_2": "SUITE D",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321226",
            "telephone_number": "404-296-4888",
            "fax_number": "404-296-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4294 MEMORIAL DR",
            "address_2": "SUITE D",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321226",
            "telephone_number": "404-296-4888",
            "fax_number": "404-296-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE INJURY CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "AKINTOYE",
        "authorized_official_first_name": "ADEBUKOLA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-296-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2973",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "038164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.