Active NPI
Elizabeth Baker, D.C.
- Sports Physician Chiropractor
- Acworth, GA
National Provider Identifier
1063552503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CHIR007434
- Practice address
- 3950 Cobb Pkwy NW
Suite 106
Acworth, GA 30101-9532 - Phone
- (770) 966-8339
- Fax
- (770) 966-8453
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CHIR007434 | GA | Primary |
Addresses
Primary practice location
3950 Cobb Pkwy NW
Suite 106
Acworth, GA 30101-9532
Mailing address
3353 Dogwood LN NW
Acworth, GA 30101-3942
Phone (404) 428-3864
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 |
|---|---|---|---|
| CHIR007434 | GA | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063552503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3353 DOGWOOD LN NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301013942",
"telephone_number": "404-428-3864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 COBB PKWY NW",
"address_2": "SUITE 106",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301019532",
"telephone_number": "770-966-8339",
"fax_number": "770-966-8453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "GA",
"license": "CHIR007434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Acworth, 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.