One Hundred Percent Chiropractic Atlanta Eight

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009842 Issued in GA

Legal business name

ONE HUNDRED PERCENT CHIROPRACTIC ATLANTA EIGHT

Practice address

4490 Chamblee Dunwoody Rd Ste D
Atlanta, GA 30338-6237

Phone

(770) 457-1571

Fax

(770) 457-1571

NPI assigned

Sep 5, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Twila Blossom Jones, DCNPI 1104344605

Title

Chiropractor

Phone

(404) 919-4545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Twila Blossom Jones, DC

  • Chiropractor
  • Dunwoody, GA
  • NPI 1104344605
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1033637533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 HUNTERS WAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832553",
            "telephone_number": "404-536-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 CHAMBLEE DUNWOODY RD STE D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386237",
            "telephone_number": "770-457-1571",
            "fax_number": "770-457-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HUNDRED PERCENT CHIROPRACTIC ATLANTA EIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "BLOSSOM JONES",
        "authorized_official_first_name": "TWILA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "404-919-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.