Individual provider Active NPI

Lauren Ashley Cortjens, D.C.

  • Sports Physician Chiropractor
  • Suwanee, GA
National Provider Identifier
1063760635
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CHIR009018 Issued in GA
Practice address
3985 Lakefield CT Ste 206
Suwanee, GA 30024-1209
Phone
(470) 239-0770
NPI assigned
Aug 29, 2012
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X CHIR009018 GA Primary

Addresses

Primary practice location

3985 Lakefield CT Ste 206
Suwanee, GA 30024-1209

Mailing address

1730 Commonwealth Ave
Cumming, GA 30041-6722
Phone (770) 235-1575

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lauren@sportsperformanceconcepts.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160226001216 GA Practitioner - ChiropracticPractitioner - Sports Medicine 4486959525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Life Chiropractic College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4245 Johns Creek Pkwy
Suwanee, GA 30024-9122
Phone (678) 304-0480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Performance Concepts, LLC Sports Physician CurrentSince Jul 28, 2019 Accepting new patients
Freshmd Past Accepting new patients

Locations

4018 Nine McFarland Dr
Alpharetta, GA 30004
Phone (470) 239-0770

3985 Lakefield Ct
Ste 206
Suwanee, GA 30024
Phone (470) 239-0770

4245 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 990-3962

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1063760635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 COMMONWEALTH AVE",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416722",
            "telephone_number": "770-235-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 LAKEFIELD CT STE 206",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241209",
            "telephone_number": "470-239-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTJENS",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "CHIR009018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren@sportsperformanceconcepts.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3985 Lakefield Ct Ste 206",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300241209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.