Individual provider Active NPI

Tia Hill

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1083249734
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010327 Issued in HI
Practice address
457 Flat Shoals Ave SE Ste 4
Atlanta, GA 30316-1962
Phone
(404) 549-7223
Fax
(404) 549-7206
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CHIR010327 HI Primary

Addresses

Primary practice location

457 Flat Shoals Ave SE Ste 4
Atlanta, GA 30316-1962

Mailing address

457 Flat Shoals Ave SE Ste 4
Atlanta, GA 30316-1962
Phone (404) 549-7223

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL dc@eastatlantainjury.com

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
CHIR010327HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
East Atlanta Injury and Wellness PastSince Mar 9, 2020 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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1083249734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 FLAT SHOALS AVE SE STE 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161962",
            "telephone_number": "404-549-7223",
            "fax_number": "404-549-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 FLAT SHOALS AVE SE STE 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161962",
            "telephone_number": "404-549-7223",
            "fax_number": "404-549-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "TIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "CHIR010327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "dc@eastatlantainjury.com",
            "affiliation": "N",
            "address_1": "457 Flat Shoals Ave SE Ste 4",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303161962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 3, 2020; 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.