Individual provider Active NPI

Phyllis Ann Carusos, DC

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1063533073
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5403 Issued in GA
Practice address
227 Sandy Springs PL NE
Suite J
Atlanta, GA 30328-5918
Phone
(404) 705-9339
Fax
(404) 705-9133
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5403 GA Primary
Chiropractor 111N00000X 1661 AL
Chiropractor 111N00000X 1946 SC

Addresses

Primary practice location

227 Sandy Springs PL NE
Suite J
Atlanta, GA 30328-5918

Mailing address

227 Sandy Springs PL NE
Suite J
Atlanta, GA 30328-5918
Phone (404) 705-9339

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
1661ALMDCounselor
5403GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Springs Chiropractic Health Centre Chiropractor Past Accepting new patients
Health Springs Chiropractic, LLC Chiropractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063533073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SANDY SPRINGS PL NE",
            "address_2": "SUITE J",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285918",
            "telephone_number": "404-705-9339",
            "fax_number": "404-705-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SANDY SPRINGS PL NE",
            "address_2": "SUITE J",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285918",
            "telephone_number": "404-705-9339",
            "fax_number": "404-705-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSOS",
        "first_name": "PHYLLIS",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5403",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1661",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1946",
            "primary": false
        }
    ],
    "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 Jul 8, 2007; 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.