Active NPI
Charlene Richmond Harrell, DC
- Chiropractor
- Montgomery, AL
National Provider Identifier
1073020749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2605
- Practice address
- 2900 Zelda Rd.
Suite a
Montgomery, AL 36106 - Phone
- (334) 395-5850
- Fax
- (334) 271-4734
- NPI assigned
- Jan 3, 2018
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2605 | AL | Primary |
Addresses
Primary practice location
2900 Zelda Rd.
Suite a
Montgomery, AL 36106
Mailing address
2900 Zelda Rd.
Suite a
Montgomery, AL 36106
Phone (334) 395-5850
Other practice location 1
750 Mount Zion Rd
Jonesboro, GA 30236-3002
Phone (770) 968-5611
Other practice location 2
2346 Wisteria Dr Ste 110
Snellville, GA 30078-6174
Phone (678) 381-2225
Other practice location 3
3166 Chestnut Dr Ste 200
Atlanta, GA 30340-3206
Phone (678) 205-2337
Other practice location 4
1624 Virginia Ave
College Park, GA 30337-2824
Phone (404) 781-2225
Other practice location 5
2375 Wall St SE Ste 135
Conyers, GA 30013-2290
Phone (678) 210-2225
Other practice location 6
530 Thornton Rd
Lithia Springs, GA 30122-4120
Phone (678) 236-0600
Other practice location 7
260 Corporate Center Dr Ste E
Stockbridge, GA 30281-7215
Phone (678) 961-6500
Other practice location 8
3825 Cherokee St NW
Kennesaw, GA 30144-2085
Phone (678) 433-1515
Other practice location 9
3166 Chestnut Dr Ste 100
Atlanta, GA 30340-3206
Phone (678) 206-2225
Other names 1
- Dr. Charlene Cornelia Richmond
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190723000767 | AL | Practitioner - Chiropractic | 6709112279 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2605 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aica Orthopedics, P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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": "1514937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1073020749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 ZELDA RD.",
"address_2": "SUITE A",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36106",
"telephone_number": "334-395-5850",
"fax_number": "334-271-4734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 ZELDA RD.",
"address_2": "SUITE A",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36106",
"telephone_number": "334-395-5850",
"fax_number": "334-271-4734"
}
],
"practiceLocations": [
{
"address_1": "750 Mount Zion Rd",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "GA",
"postal_code": "302363002",
"country_code": "US",
"telephone_number": "770-968-5611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2346 Wisteria Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Snellville",
"state": "GA",
"postal_code": "300786174",
"country_code": "US",
"telephone_number": "678-381-2225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3166 Chestnut Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303403206",
"country_code": "US",
"telephone_number": "678-205-2337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1624 Virginia Ave",
"address_purpose": "LOCATION",
"city": "College Park",
"state": "GA",
"postal_code": "303372824",
"country_code": "US",
"telephone_number": "404-781-2225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2375 Wall St SE Ste 135",
"address_purpose": "LOCATION",
"city": "Conyers",
"state": "GA",
"postal_code": "300132290",
"country_code": "US",
"telephone_number": "678-210-2225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "530 Thornton Rd",
"address_purpose": "LOCATION",
"city": "Lithia Springs",
"state": "GA",
"postal_code": "301224120",
"country_code": "US",
"telephone_number": "678-236-0600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "260 Corporate Center Dr Ste E",
"address_purpose": "LOCATION",
"city": "Stockbridge",
"state": "GA",
"postal_code": "302817215",
"country_code": "US",
"telephone_number": "678-961-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3825 Cherokee St NW",
"address_purpose": "LOCATION",
"city": "Kennesaw",
"state": "GA",
"postal_code": "301442085",
"country_code": "US",
"telephone_number": "678-433-1515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3166 Chestnut Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303403206",
"country_code": "US",
"telephone_number": "678-206-2225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRELL",
"first_name": "CHARLENE",
"middle_name": "RICHMOND",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-03",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLENE",
"last_name": "RICHMOND",
"middle_name": "CORNELIA",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.