NPIMap

Individual provider Active NPI

Rino M Poli, D.C.

  • Chiropractor
  • Smyrna, GA
National Provider Identifier
1093773525
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006456 Issued in GA
Practice address
1675 Cumberland Pkwy SE
Ste 205
Smyrna, GA 30080-6359
Phone
(678) 852-4032
Fax
(770) 801-8626
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006456 GA Primary

Addresses

Primary practice location

1675 Cumberland Pkwy SE
Ste 205
Smyrna, GA 30080-6359

Mailing address

1675 Cumberland Pkwy SE
Ste 205
Smyrna, GA 30080-6359
Phone (678) 852-4032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006456GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vinings Spine & Health Center, LLC PastSince Sep 1, 2019 Accepting new patients
Vinings Family Chiropractic & Wellness Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1093773525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 CUMBERLAND PKWY SE",
            "address_2": "STE 205",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806359",
            "telephone_number": "678-852-4032",
            "fax_number": "770-801-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 CUMBERLAND PKWY SE",
            "address_2": "STE 205",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806359",
            "telephone_number": "678-852-4032",
            "fax_number": "770-801-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLI",
        "first_name": "RINO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.