Active NPI
Porcia Dawn Ewing, D.C.
- Chiropractor
- Atlanta, GA
National Provider Identifier
1083666192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007881
- Practice address
- 147 North Avenue N.W.
Atlanta, GA 30308 - Phone
- (404) 892-1001
- Fax
- (404) 874-3826
- NPI assigned
- May 17, 2006
- 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 | CHIR007881 | GA | Primary |
Addresses
Primary practice location
147 North Avenue N.W.
Atlanta, GA 30308
Mailing address
7075 Coatsworth Dr
Stockbridge, GA 30281-5940
Phone (678) 983-0688
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060606000037 | GA | Practitioner - Chiropractic | 9335150481 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083666192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7075 COATSWORTH DR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815940",
"telephone_number": "678-983-0688",
"fax_number": "770-506-0689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 NORTH AVENUE N.W.",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30308",
"telephone_number": "404-892-1001",
"fax_number": "404-874-3826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWING",
"first_name": "PORCIA",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.