Organization Active NPI

Connect My Brain

  • Pediatric Chiropractor
  • Atlanta, GA
National Provider Identifier
1093341737
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
Legal business name
CONNECT MY BRAIN
Practice address
4930 Long Island Ter
Atlanta, GA 30342-2572
Phone
(678) 787-3744
NPI assigned
Mar 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Dr. Laura Hanson, DC MS DICCP BCN CASNPI 1265598627
Title
Doctor
Phone
(678) 501-5172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NP0017X Primary

Addresses

Primary practice location

4930 Long Island Ter
Atlanta, GA 30342-2572

Mailing address

4930 Long Island Ter
Atlanta, GA 30342-2572
Phone (678) 787-3744

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.

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1093341737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 LONG ISLAND TER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422572",
            "telephone_number": "678-787-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 LONG ISLAND TER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422572",
            "telephone_number": "678-787-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT MY BRAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "678-501-5172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC MS DICCP BCN CAS"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "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 Mar 13, 2020; 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.