Ac Spine & Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

AC SPINE & WELLNESS CENTER LLC

Practice address

217 Scenic Hwy # 124
Lawrenceville, GA 30046-5621

Phone

(770) 513-8922

Fax

(770) 513-0547

NPI assigned

Aug 16, 2012

Last updated

Dec 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeanette E Altieri, DC

Title

Owner

Phone

(770) 513-8922

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenny Chang, ARNP

  • Nurse Practitioner
  • Norcross, GA
  • NPI 1972939130
  Medicare reassignment NPD
• Hoyt Wayborn Gazaway Jr., M.D.

  • General Practice Physician
  • Buford, GA
  • NPI 1710088505
  Medicare reassignment NPD
• Jueth Atigbi-Hansen, FNP

  • Family Nurse Practitioner
  • Klamath Falls, OR
  • NPI 1588064596

  GA

  Medicare reassignment NPD
• Samuel B Hilton, DO

  • General Practice Physician
  • Kingsport, TN
  • NPI 1407379746

  GA

  Medicare reassignment NPD
• Noman Alam Bashir

  • Physician Assistant
  • Lawrenceville, GA
  • NPI 1457660466
  Medicare reassignment

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1013265479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SCENIC HWY # 124",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465621",
            "telephone_number": "770-513-8922",
            "fax_number": "770-513-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SCENIC HWY # 124",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465621",
            "telephone_number": "770-513-8922",
            "fax_number": "770-513-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC SPINE & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "ALTIERI",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-513-8922",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lina Abu-Samrah Salaymeh
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• Ac Chiropractic Life Center
• Ac Spine & Wellness Center Inc
• Accela RX
• Access Healthcare Providers LLC
• Access Wheelchair Repair, LLC
• Accessibility Solutions
• Accu Lab LLC

• Chiropractor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.