Organization Active NPI

Georgia Elite Health, LLC

Doing business as Matthews Family Chiropractic

  • Chiropractor
  • Kennesaw, GA
National Provider Identifier
1003240854
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GEORGIA ELITE HEALTH, LLC
Doing business as
Matthews Family Chiropractic
Practice address
2241 Lewis St NW
Kennesaw, GA 30144-2714
Phone
(678) 807-9455
Fax
(770) 545-1973
NPI assigned
Aug 29, 2013
Last updated
Jul 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Dr. Alicia Matthews, DC
Title
Managing Member
Phone
(678) 807-9455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2241 Lewis St NW
Kennesaw, GA 30144-2714

Mailing address

PO Box 815
Kennesaw, GA 30156-0815
Phone (678) 807-9455

Other names 1

  • Matthews Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1003240854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 815",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301560815",
            "telephone_number": "678-807-9455",
            "fax_number": "770-545-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 LEWIS ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442714",
            "telephone_number": "678-807-9455",
            "fax_number": "770-545-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA ELITE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "678-807-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthews Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.