Active NPI
Christopher Kyle Brooks, D.C.
- Chiropractor
- Smyrna, GA
National Provider Identifier
1033119193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR005653
- 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, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR005653 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chris Brooks, P.C. | Chiropractor | Current | Accepting new patients |
| Vitalogy Medical LLC | Past | 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.
-
- Chiropractor
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- NPI 1720287956
-
- Family Medicine Physician
- Smyrna, GA
- NPI 1376848655
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.