Devonte' L. Glass, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009984 Issued in GA

Practice address

5337 Old National Hwy Ste 120
College Park, GA 30349-3305

Phone

(770) 768-5339

Fax

(833) 790-2378

NPI assigned

Feb 18, 2018

Last updated

Feb 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8165/brand/1/csg/1/fhir/r4

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.

• Neighborhood Wellness LLC

  • Chiropractor
  • College Park, GA
  • NPI 1700388469
  NPD (past)

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518912000000",
    "number": "1063912830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 OAK ST SW UNIT 1213",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101964",
            "telephone_number": "313-405-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5337 OLD NATIONAL HWY STE 120",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493305",
            "telephone_number": "770-768-5339",
            "fax_number": "833-790-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "DEVONTE'",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-18",
        "last_updated": "2018-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Ann Ganaway, CERTIFIED NURSE/TECH
• Georgia Clinics LLC
• Kylie Gerks, MS, MFT
• Leandre Daniel Gervais, DDS
• Tara Ann Gill, M.S.
• Cynthia Glenn
• Godby Medical Equipment, LLC
• Gods Appointed Time Private Homecare
• Tamyca Goff, ATC, LAT
• Veda Latrice Goins, OWNER

• Chiropractor in College Park, GA
• Providers in College Park, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2018; 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.