Jeffery Paul, D.C., A.T.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008613 Issued in GA

Practice address

1155 Allgood Rd Ste 8
Marietta, GA 30062-2243

Phone

(678) 369-3757

NPI assigned

Jan 28, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1093046161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 ALLGOOD RD STE 8",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622243",
            "telephone_number": "678-369-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 ALLGOOD RD STE 8",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622243",
            "telephone_number": "678-369-3757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1163 Johnson Ferry Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300682764",
            "country_code": "US",
            "telephone_number": "770-321-0155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JEFFERY",
        "name_prefix": "Dr.",
        "credential": "D.C., A.T.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-28",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001213",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Marschall Patterson, M.D.
• Frank Patterson, D.C.
• Morgan Alyssa Patterson
• Calistra Paul
• James E Paul, MD
• Tabitha Paul
• Paula L Sumple, Ms CCC-SLP LLC
• Amanda Paulino, MSED
• Paulo Olinda
• Darrin D Payne, MA, APC, BS MIN.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.