Individual provider Active NPI

Navid Sharif Mahallati, D.C.

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1023233251
Registry record updated May 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO07867 Issued in GA
Practice address
11205 Alpharetta Hwy
Suite D
Roswell, GA 30076-5610
Phone
(770) 401-4306
NPI assigned
Apr 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO07867 GA Primary

Addresses

Primary practice location

11205 Alpharetta Hwy
Suite D
Roswell, GA 30076-5610

Mailing address

11205 Alpharetta Hwy Ste D4
Roswell, GA 30076-5645
Phone (770) 401-4306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO07867GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
United Injury Specialist LLC Chiropractor PastSince Apr 1, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590278400000",
    "number": "1023233251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 ALPHARETTA HWY STE D4",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765645",
            "telephone_number": "770-401-4306",
            "fax_number": "404-662-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11205 ALPHARETTA HWY",
            "address_2": "SUITE D",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765610",
            "telephone_number": "770-401-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHALLATI",
        "first_name": "NAVID",
        "middle_name": "SHARIF",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2020-05-24",
        "certification_date": "2020-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2020; 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.