Petrina Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PETRINA CHIROPRACTIC

Practice address

2095 Highway 211 NW Ste 3a
Braselton, GA 30517-3403

Phone

(678) 710-3011

NPI assigned

May 4, 2023

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Petrina, DCNPI 1922663970

Title

Owner

Phone

(678) 710-3011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Petrina, DC

  • Chiropractor
  • Braselton, GA
  • NPI 1922663970
  Medicare reassignment NPD Authorized official
• Allison Scott, DC

  • Chiropractor
  • Braselton, GA
  • NPI 1538994231
  NPD

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1083303093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 HIGHWAY 211 NW STE 3A",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305173403",
            "telephone_number": "678-710-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 HIGHWAY 211 NW STE 3A",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305173403",
            "telephone_number": "678-710-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRINA CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "PETRINA",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-710-3011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachtree Orthopaedic Clinic, P.a. (Peachtree Orthopedics)
• James Peck, DPT
• Samhitha Peddada, MD
• Shanthan Pendem, MD
• Diego Perez, FNP
• Kyle Petrina, DC
• Kelly Pierannunzi, FNP-C
• Lindsay Hale Pinion, PA-C
• Lydia Piutau, CSW
• Kalianna Marie Pivett, PA

• Chiropractor in Braselton, GA
• Providers in Braselton, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.

Verify at the official NPI Registry.