Organization Active NPI

Life of Georgia Chiropractic, PC

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1083936108
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1346 Issued in GA
Legal business name
LIFE OF GEORGIA CHIROPRACTIC, PC
Practice address
2797 Campbellton Rd SW
Suite B-3
Atlanta, GA 30311-4455
Phone
(404) 346-7093
Fax
(404) 346-1010
NPI assigned
Feb 16, 2010
Last updated
Feb 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Dr. William O Walker, D.C.NPI 1790807915
Title
Owner
Phone
(404) 346-7093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1346 GA Primary

Addresses

Primary practice location

2797 Campbellton Rd SW
Suite B-3
Atlanta, GA 30311-4455

Mailing address

2797 Campbellton Rd SW
Suite B-3
Atlanta, GA 30311-4455
Phone (404) 346-7093

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1083936108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 CAMPBELLTON RD SW",
            "address_2": "SUITE B-3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303114455",
            "telephone_number": "404-346-7093",
            "fax_number": "404-346-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 CAMPBELLTON RD SW",
            "address_2": "SUITE B-3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303114455",
            "telephone_number": "404-346-7093",
            "fax_number": "404-346-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE OF GEORGIA CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-346-7093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "1346",
            "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 Feb 16, 2010; 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.