Individual provider Active NPI

Christopher Kyle Brooks, D.C.

  • Chiropractor
  • Smyrna, GA
National Provider Identifier
1033119193
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005653 Issued in GA
Practice address
3065 S Cobb Dr SE
Suite B
Smyrna, GA 30080-7809
Phone
(770) 432-1164
Fax
(770) 434-8262
NPI assigned
Jul 29, 2005
Last updated
Mar 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR005653 GA Primary

Addresses

Primary practice location

3065 S Cobb Dr SE
Suite B
Smyrna, GA 30080-7809

Mailing address

750 Bentwood Trce
Alpharetta, GA 30005-4144
Phone (770) 619-5825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408000118 GA Practitioner - Chiropractic 7618960550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Chris Brooks, P.C.Group PAC ID 2264425206, 2 clinicians

Practice addresses (Care Compare)

2821 S Cobb Dr SE
Smyrna, GA 30080-3242
Phone (770) 432-1164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR005653GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Brooks, P.C. Chiropractor CurrentSince Jan 9, 2004 Accepting new patients
Vitalogy Medical LLC PastSince Jun 3, 2012 Accepting new patients
Richard a Franks DC,PC Chiropractor Past Accepting new patients

Locations

2821 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 432-1164

3065 S Cobb Dr SE
Ste B
Smyrna, GA 30080
Phone (770) 423-1164

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1033119193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 BENTWOOD TRCE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054144",
            "telephone_number": "770-619-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 S COBB DR SE",
            "address_2": "SUITE B",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807809",
            "telephone_number": "770-432-1164",
            "fax_number": "770-434-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CHRISTOPHER",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.