Organization Active NPI

FX Chiropractic and Performance, LLC

  • Sports Physician Chiropractor
  • Atlanta, GA
National Provider Identifier
1043722911
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CHIR008773 Issued in GA
Legal business name
FX CHIROPRACTIC AND PERFORMANCE, LLC
Practice address
100 6TH St NE Ste 150
Atlanta, GA 30308-1370
Phone
(404) 334-5001
NPI assigned
Oct 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Dr. Dan Shuman, DCNPI 1376846378
Title
Owner
Phone
(404) 334-5001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X CHIR008773 GA Primary

Addresses

Primary practice location

100 6TH St NE Ste 150
Atlanta, GA 30308-1370

Mailing address

100 6TH St NE Ste 150
Atlanta, GA 30308-1370
Phone (404) 334-5001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171106000769 GA Part B Supplier - Clinic/Group Practice 4183980352 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

100 6th St NE
Ste 150
Atlanta, GA 30308
Phone (404) 334-5001

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1043722911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 6TH ST NE STE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081370",
            "telephone_number": "404-334-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 6TH ST NE STE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081370",
            "telephone_number": "404-334-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FX CHIROPRACTIC AND PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "SHUMAN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-334-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "CHIR008773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.