Active NPI
Kenneth G Holewinski, DC
- Chiropractor
- Atlanta, GA
National Provider Identifier
1083714869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2306
- Practice address
- 755 Simpson St
Atlanta, GA 30314 - Phone
- (404) 525-3772
- Fax
- (404) 525-3773
- NPI assigned
- Sep 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2306 | GA | Primary |
| Chiropractor | 111N00000X | 1667 | AL |
Addresses
Primary practice location
755 Simpson St
Atlanta, GA 30314
Mailing address
755 Simpson St
Atlanta, GA 30314
Phone (404) 525-3772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50012988 | Other | GA | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2710 E 1St St
Blue Ridge, GA 30513-4510
Phone (706) 632-6574
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306 | GA | MD | Chiropractor |
| 1667 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant Chiropractic of Blue Ridge, PC | Chiropractor | Current | Accepting new patients |
Locations
2710 E First St
Blue Ridge, GA 30513
Phone (706) 632-6574
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.
-
- Chiropractor
- Blue Ridge, GA
- NPI 1336406487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083714869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 SIMPSON ST",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30314",
"telephone_number": "404-525-3772",
"fax_number": "404-525-3773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 SIMPSON ST",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30314",
"telephone_number": "404-525-3772",
"fax_number": "404-525-3773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLEWINSKI",
"first_name": "KENNETH",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "2306",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "1667",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "50012988",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Helen Holderread, PA-C
- Sarah M Holdsworth, A.P.R.N.
- Kelly Elizabeth Holdway, APC
- Gina Gail Holecek, MPH, OTRL
- Gwendolyn Darleen Holeman, M.D.
- Asia Sedawn Denelle Holiday
- Demetrius Denise Holiday, PNP
- Holistic Family Psychiatry
- Holistic Harbor Psychotherapy and Wellness, Inc.
- Holistic Haven Counseling LLC
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.