Active NPI
Mitchell McKinney, DC
- Rehabilitation Chiropractor
- Atlanta, GA
National Provider Identifier
1053621961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CHIR008590
- Practice address
- 2740 Greenbriar Parkway Suite A3
Atlanta Injury and Wellness Center
Atlanta, GA 30331 - Phone
- (404) 629-9999
- NPI assigned
- Oct 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008590 | GA | |
| Rehabilitation Chiropractor | 111NR0400X | CHIR008590 | GA | Primary |
Addresses
Primary practice location
2740 Greenbriar Parkway Suite A3
Atlanta Injury and Wellness Center
Atlanta, GA 30331
Mailing address
302 Greyfield Lane
Sandysprings, GA 30350
Phone (404) 702-3438
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
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR008590 | GA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1053621961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 GREYFIELD LANE",
"city": "SANDYSPRINGS",
"state": "GA",
"postal_code": "30350",
"telephone_number": "404-702-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 GREENBRIAR PARKWAY SUITE A3",
"address_2": "ATLANTA INJURY AND WELLNESS CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30331",
"telephone_number": "404-629-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-13",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008590",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "CHIR008590",
"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 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.