Individual provider Active NPI

Kourtney Kostzer, DC

  • Chiropractor
  • Peachtree Corners, GA
National Provider Identifier
1033983457
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010952 Issued in GA
Practice address
3466 Holcomb Bridge Rd Ste E&F
Peachtree Corners, GA 30092-3108
Phone
(470) 820-7227
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010952 GA Primary

Addresses

Primary practice location

3466 Holcomb Bridge Rd Ste E&F
Peachtree Corners, GA 30092-3108

Mailing address

3885 Spalding Bluff Dr
Peachtree Corners, GA 30092-2306
Phone (954) 798-3674

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010952GAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1033983457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 SPALDING BLUFF DR",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922306",
            "telephone_number": "954-798-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 HOLCOMB BRIDGE RD STE E&F",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923108",
            "telephone_number": "470-820-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTZER",
        "first_name": "KOURTNEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.