Active NPI
Performance Injury Center LLC.
- Chiropractor
- Decatur, GA
National Provider Identifier
1003067828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2973
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2973 | GA | Primary |
| Internal Medicine Physician | 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 DirectoryLocations
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.
-
- Chiropractor
- Decatur, GA
- NPI 1013014828
-
- Massage Therapist
- Decatur, GA
- NPI 1487987277
-
- Chiropractor
- Decatur, GA
- NPI 1285877084
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.