Active NPI
Alejandro Betancourt O'Farrill, DC
- Chiropractor
- Stockbridge, GA
National Provider Identifier
1053038091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO10885
- Practice address
- 5430 N Henry Blvd Ste 100
Stockbridge, GA 30281-3270 - Phone
- (770) 389-4744
- Fax
- (770) 389-4760
- NPI assigned
- Oct 20, 2022
- Last updated
- Oct 20, 2022
- 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 | CHIRO10885 | GA | Primary |
Addresses
Primary practice location
5430 N Henry Blvd Ste 100
Stockbridge, GA 30281-3270
Mailing address
5430 N Henry Blvd Ste 100
Stockbridge, GA 30281-3270
Phone (770) 389-4744
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
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5430 N Henry Blvd
Suite 100
Stockbridge, GA 30281-3270
Phone (770) 389-4744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO10885 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hess Chiropractic Life Center Inc. | Chiropractor | Current | Accepting new patients |
| Glame Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
Locations
5430 N Henry Blvd
Ste 100
Stockbridge, GA 30281
Phone (770) 389-4744
Organizations & group practices 2
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
- Stockbridge, GA
- NPI 1538370341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1053038091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5430 N HENRY BLVD STE 100",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302813270",
"telephone_number": "770-389-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 N HENRY BLVD STE 100",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302813270",
"telephone_number": "770-389-4744",
"fax_number": "770-389-4760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETANCOURT O'FARRILL",
"first_name": "ALEJANDRO",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-20",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO10885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.